Organization
PELHAM ROAD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAYAN R DESAI R DR (PRESIDENT)
(864) 752-3286
Entity
Organization
Contact information
Practice address
800 PELHAM RD STE B, GREENVILLE, SC 29615-3300
(864) 752-3333
(864) 752-3334
Mailing address
800 B PELHAM ROAD, GREENVILLE, SC 29615
(864) 752-3333
(864) 752-3334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50002040
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3094
—
SC
Enumeration date
10/15/2008
Last updated
03/22/2013
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