Organization
BLACKS DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KEELS WYLIE RPH (PRESIDENT)
(803) 581-2102
Entity
Organization
Contact information
Practice address
121 CHURCH ST, CHESTER, SC 29706-2903
(803) 581-2102
(803) 581-2121
Mailing address
121 CHURCH ST, CHESTER, SC 29706-2903
(803) 581-2102
(803) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600807
—
SC
Enumeration date
09/18/2007
Last updated
09/18/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us