Organization
MORAL OF PICKENS INC
Active
Other names
CORNER DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MORRIS PHARMD (PHARMACIST IN CHARGE)
(864) 607-6733
Entity
Organization
Contact information
Practice address
205 W CEDAR ROCK ST, PICKENS, SC 29671-2451
(864) 878-6357
(864) 878-6301
Mailing address
PO BOX 66, PICKENS, SC 29671-0066
(864) 878-6357
(864) 878-6301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1047
SC
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089740
PK
—
05
—
710470
—
SC
Enumeration date
10/03/2006
Last updated
12/16/2016
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