Organization
PARKER ROAD DRUGS, INC
Active
Other names
Parker Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JACOB PETRICH RPH (OWNER)
(864) 272-1001
Entity
Organization
Contact information
Practice address
23 MOHAWK DR, GREENVILLE, SC 29609-5726
(864) 242-1101
(864) 242-1330
Mailing address
23 MOHAWK DR, GREENVILLE, SC 29609-5726
(864) 242-1101
(864) 242-1330
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/10/2019
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