Organization
NYE'S PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL KEVIN MARTIN RPH (OWNER MANAGER HEAD PHARMACIST)
(843) 248-5015
Entity
Organization
Contact information
Practice address
1600 10TH AVE, NYE'S PHARMACY INC., CONWAY, SC 29526-4112
(843) 248-5015
(843) 488-1942
Mailing address
1600 10TH AVE, NYE'S PHARMACY INC., CONWAY, SC 29526-4112
(843) 248-5015
(843) 488-1942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4203698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME166
—
SC
Enumeration date
04/04/2007
Last updated
08/22/2020
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