Organization
PARK PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN RAY CRAWFORD RPH (OWNER/PHARMACIST)
(864) 456-7411
Entity
Organization
Contact information
Practice address
9 E MAIN ST, WARE SHOALS, SC 29692-1301
(864) 456-7411
(864) 456-3026
Mailing address
PO BOX 89, WARE SHOALS, SC 29692-0089
(864) 456-7411
(864) 456-3026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715701
—
SC
Enumeration date
09/15/2006
Last updated
08/22/2020
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