Organization
FIVE FORKS PHARMACY LLC
Active
Other names
Five Forks Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DESERIO (MANAGER)
(864) 580-7001
Entity
Organization
Contact information
Practice address
2701 WOODRUFF RD STE E, SIMPSONVILLE, SC 29681-3640
(864) 580-7001
(864) 580-7002
Mailing address
2701 WOODRUFF RD STE E, SIMPSONVILLE, SC 29681-3640
(864) 580-7001
(864) 580-7002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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