Organization
GASTON HEALTH ASSOCIATES INC
Active
Other names
GASTON FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MCHUGH BS (OWNER)
(803) 939-8489
Entity
Organization
Contact information
Practice address
1118 MACK ST, GASTON, SC 29053
(803) 939-8489
(803) 939-8489
Mailing address
PO BOX 310, GASTON, SC 29053-0310
(803) 939-8489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50008011
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4225543
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
780118
—
SC
Enumeration date
10/13/2006
Last updated
01/27/2021
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