Organization
PIGGLY WIGGLY HOLLYWOOD INC
Active
Parent organization
PIGGLY WIGGLY CARLINA CO INC
Other names
Piggly Wiggly Pharmacy #19
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIGGLY WIGGLY CARLINA CO INC
Authorized official
MR. DAVID R. SCHOOLS (CEO/PRESIDENT)
(843) 554-9880
Entity
Organization
Contact information
Practice address
6251 HIGHWAY 162, HOLLYWOOD, SC 29449-5782
(843) 889-6866
(843) 889-4976
Mailing address
PO BOX 118047, CHARLESTON, SC 29423-8047
(843) 554-9880
(843) 202-8211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5001839
SC
3336C0003X
Community/Retail Pharmacy
Primary
5001839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718395
—
SC
Enumeration date
01/02/2007
Last updated
08/01/2011
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