Organization
PARKS PHARMACY WEST
Active
Other names
PARKS PHARMACY WEST
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN POWELL BS PHARMACY (PIC)
(803) 279-7390
Entity
Organization
Contact information
Practice address
437 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3851
(803) 279-7390
(803) 278-3018
Mailing address
437 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3851
(803) 279-7390
(803) 278-3018
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
4948
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091709
PK
—
Enumeration date
02/05/2014
Last updated
02/05/2014
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