Organization
COMMUNITY DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALEEN S. GOODREAU (BUSINESS MANAGER)
(864) 295-0550
Entity
Organization
Contact information
Practice address
2956 NEW EASLEY HWY, GREENVILLE, SC 29611-7132
(864) 295-0550
(864) 269-2358
Mailing address
2956 NEW EASLEY HWY, GREENVILLE, SC 29611-7132
(864) 295-0550
(864) 269-2358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005837
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50006675
STATE PERMIT NUMBER
RI
Enumeration date
07/05/2006
Last updated
03/07/2023
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