Organization
FOWLERS PHARMACY 1 INC
Active
Other names
FOWLERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MANEY RPH (MANAGER)
(864) 288-5920
Entity
Organization
Contact information
Practice address
1908 LAURENS RD, GREENVILLE, SC 29607-2913
(864) 288-5920
(864) 288-9218
Mailing address
1908 LAURENS RD, GREENVILLE, SC 29607-2913
(864) 288-5920
(864) 288-9218
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9537
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087906
PK
—
05
—
702633
—
SC
Enumeration date
02/05/2007
Last updated
12/02/2016
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