Organization
EHRHARDT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA GRANTHAM AVANT (RPH)
(803) 267-2121
Entity
Organization
Contact information
Practice address
12930 BROXTON BRIDGE ROAD, EHRHARDT, SC 29081-0309
(803) 267-2121
(803) 267-2124
Mailing address
PO BOX 309, EHRHARDT, SC 29081-0309
(803) 267-2121
(803) 267-2124
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714840
—
SC
Enumeration date
01/03/2019
Last updated
01/03/2019
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