Organization
PAWLEYS ISLAND PHARMACY OF LITCHFIELD LLC
Active
Other names
PAWLEYS ISLAND PHARMACY OF LITCHFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN COX (PRESIDENT)
(843) 314-0498
Entity
Organization
Contact information
Practice address
115 WILLBROOK BLVD UNIT A, PAWLEYS ISLAND, SC 29585-6542
(843) 314-0498
(843) 314-0580
Mailing address
115 WILLBROOK BLVD, UNIT A, PAWLEYS ISLAND, SC 29585-6541
(843) 314-0498
(843) 314-0580
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146714
PK
—
Enumeration date
08/14/2014
Last updated
12/02/2015
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