Organization
NOTTAP, INC.
Active
Other names
Buford Street Drug Store, BUFORD STREET HOME MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BRADFORD BAILEY PHARM D. (OWNER)
(864) 488-3036
Entity
Organization
Contact information
Practice address
113 W BUFORD ST, GAFFNEY, SC 29340-3001
(864) 488-2735
(864) 488-0316
Mailing address
113 W BUFORD ST, GAFFNEY, SC 29340-3001
(864) 488-2735
(864) 488-0316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
65004896
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1519
—
SC
Enumeration date
09/05/2006
Last updated
06/22/2022
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