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Organization

BRUNSON'S PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES VICTOR MATHIS JR. PHARM.D., R.PH. (OWNER/PIC)
(803) 435-2511
Entity
Organization

Contact information

Practice address
12 N BROOKS ST, MANNING, SC 29102-3206
(803) 435-2511
Mailing address
PO BOX 1250, MANNING, SC 29102-1250
(803) 435-2511

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11113
SC

Other

Enumeration date
03/05/2013
Last updated
03/05/2013
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