Organization
MILRUSH LLC
Active
Other names
GREAT FALLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETE MILHORN (PHARMD)
(803) 482-2249
Entity
Organization
Contact information
Practice address
503 CHESTER AVE, SUITE A, GREAT FALLS, SC 29055-1207
(803) 482-2249
(803) 482-3349
Mailing address
503 CHESTER AVE, SUITE A, GREAT FALLS, SC 29055-1207
(803) 482-2249
(803) 482-3349
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13459
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131882
PK
—
05
—
759681
—
SC
05
—
DE 1929
—
SC
Enumeration date
06/28/2006
Last updated
10/07/2016
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