Organization
LATTA DRUG COMPANY, INC.
Active
Other names
LATTA DRUG COMPANY INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT BROWN RPH (OWNER PHCST)
(843) 752-0023
Entity
Organization
Contact information
Practice address
106 E MAIN ST, LATTA, SC 29565-1617
(843) 752-0023
(843) 752-0062
Mailing address
106 E MAIN ST, LATTA, SC 29565-1617
(843) 752-0023
(843) 752-0062
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50006173
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092085
PK
—
05
—
761731
—
SC
Enumeration date
05/17/2006
Last updated
02/28/2017
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