Organization
LONGS DRUGS OF LEXINGTON SC INC
Active
Other names
Long's Drugs of Lexington
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ELLIS (CORPORATE COUNSEL)
(803) 254-5884
Entity
Organization
Contact information
Practice address
1216 W MAIN ST, LEXINGTON, SC 29072-2453
(803) 358-3030
(803) 358-3034
Mailing address
PO. 602683, CHARLOTTE, NC 28260
(803) 358-3030
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
15052
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175072
PK
—
Enumeration date
03/06/2018
Last updated
06/06/2018
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