Organization
CUSTOM PHARMACY OF NORTH AUGUSTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MORGAN FORDHAM BLANTON PHARMD (PHARMACIST IN CHARGE/ CO-OWNER)
(706) 945-8351
Entity
Organization
Contact information
Practice address
401 W MARTINTOWN RD STE 153, NORTH AUGUSTA, SC 29841-6135
(803) 693-5514
(803) 792-9066
Mailing address
401 W MARTINTOWN RD STE 153, NORTH AUGUSTA, SC 29841-6135
(803) 693-5514
(803) 792-9066
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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