Organization
ELGIN PHARAMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDY MUBARAK RPH (PHARMACIST)
(803) 438-5735
Entity
Organization
Contact information
Practice address
1107 ROSS ST., ELGIN, SC 29045
(803) 438-5732
(803) 438-4657
Mailing address
PO BOX 749, 1107 ROSS ST., ELGIN, SC 29045-0749
(803) 438-5732
(803) 438-4657
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50002037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720376
—
SC
Enumeration date
05/24/2007
Last updated
08/22/2020
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