Organization
WALTERBORO PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MICHAEL SIMMONS PHARMD (OWNER)
(843) 729-5583
Entity
Organization
Contact information
Practice address
1315 N JEFFERIES BLVD, WALTERBORO, SC 29488-2732
(843) 782-4050
(843) 782-3291
Mailing address
1315 N JEFFERIES BLVD, WALTERBORO, SC 29488-2732
(843) 782-4050
(843) 782-3291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
03/24/2023
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