Organization
GASTON HEALTH ASSOCIATES
Active
Other names
Gaston Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE FRANKLIN MCHUGH RPH (OWNER)
(803) 939-8489
Entity
Organization
Contact information
Practice address
1118 MACK ST, GASTON, SC 29053-0000
(803) 939-8489
(803) 939-8492
Mailing address
PO BOX 310, 1118 MACK ST, GASTON, SC 29053-0000
(803) 939-8489
(803) 939-8492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DE2541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2541
—
SC
Enumeration date
05/30/2007
Last updated
09/23/2022
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