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Organization

PIGGLY WIGGLY #35

Active
Other names
SUP RX PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
W R MCLEOD RPH (OWNER)
(803) 775-1334
Entity
Organization

Contact information

Practice address
842 S 5TH ST, HARTSVILLE, SC 29550-5697
(843) 332-0762
(843) 383-9576
Mailing address
842 S 5TH ST, HARTSVILLE, SC 29550-5697

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
50008929
SC
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4213106
OTHER ID NUMBER-COMMERCIAL NUMBER
05
718178
SC
Enumeration date
09/20/2006
Last updated
09/11/2025
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