Organization
BLACK RIVER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL EDWARD DRUCKER RPH. (OWNER)
(843) 356-0172
Entity
Organization
Contact information
Practice address
32A N WILLIAMSBURG COUNTY HWY, KINGSTREE, SC 29556-2433
(843) 355-5656
(843) 355-5655
Mailing address
32A N WILLIAMSBURG COUNTY HWY, KINGSTREE, SC 29556-2433
(843) 355-5656
(843) 355-5655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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