Organization
PIGGLY WIGGLY OF MANNING INC.
Active
Other names
SupRx #32
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R MCLEOD JR. (OWNER)
(803) 773-6378
Entity
Organization
Contact information
Practice address
36 SUNSET DR, MANNING, SC 29102-2927
(803) 433-2412
(803) 433-8202
Mailing address
36 SUNSET DR, MANNING, SC 29102-2927
(803) 433-2412
(803) 433-8202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50000946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089725
PK
—
05
—
709460
—
SC
Enumeration date
07/30/2006
Last updated
03/17/2022
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