Organization
GJS INC
Active
Other names
CHILDRENS PHARMACY OF EASLEY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CROWE RPH (OWNER AND PHARM)
(864) 859-0768
Entity
Organization
Contact information
Practice address
800 N A ST, EASLEY, SC 29640-2144
(864) 859-0768
(864) 855-5030
Mailing address
800 N A ST, EASLEY, SC 29640-2144
(864) 859-0768
(864) 855-5030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4151
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000077356
—
SC
01
—
4217483
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
02/12/2013
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