Organization
JJ BRE INC
Active
Other names
COMMUNITY PHARMACY OF TURBEVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CHARIS (OWNER)
(843) 659-2204
Entity
Organization
Contact information
Practice address
942 SMITH STREET, TURBEVILLE, SC 29162-0421
(843) 659-2204
(842) 659-3404
Mailing address
PO BOX 421, TURBEVILLE, SC 29162-0421
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50009527
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090464
PK
—
05
—
795278
—
SC
Enumeration date
11/20/2006
Last updated
11/15/2013
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