Organization
NYES PHARMACY OF CONWAY INC
Active
Other names
Nye's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY COMBS (OWNER/PHARMACIST)
(843) 248-5015
Entity
Organization
Contact information
Practice address
1600 10TH AVE, CONWAY, SC 29526-4112
(843) 248-5015
(843) 488-1942
Mailing address
1600 10TH AVE, CONWAY, SC 29526-4112
(843) 248-5015
(843) 488-1942
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10957
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4229692
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/04/2010
Last updated
07/30/2010
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