Organization
KENS THRIFTEE PHARMACY INC
Active
Other names
KENS THRIFTEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUDSON WRIGHT CPHT (OWNER, CORP SEC, MGR)
(864) 638-9553
Entity
Organization
Contact information
Practice address
112 E MAIN ST, WALHALLA, SC 29691-1925
(864) 638-9553
(864) 638-3754
Mailing address
PO BOX 58, WALHALLA, SC 29691-0058
(864) 638-9553
(864) 638-3754
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8474
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089918
PK
—
05
—
708751
—
SC
Enumeration date
05/12/2006
Last updated
02/20/2017
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