Organization
PEACH VALLEY PHARMACY LLC
Active
Other names
U SAVE IT PHARMACY PEACH VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SHARPE (MEMBER)
(229) 435-4571
Entity
Organization
Contact information
Practice address
2310 CHESNEE HWY, SPARTANBURG, SC 29303-5505
(864) 577-0087
(864) 577-0599
Mailing address
PO BOX 72148, ALBANY, GA 31708-2148
(229) 435-4571
(229) 878-4926
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
14209
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528319548
—
NC
01
—
2137378
PK
—
05
—
714209
—
SC
Enumeration date
10/01/2012
Last updated
07/30/2024
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