Organization
PEACH VALLEY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H. WEST (CEO)
(864) 577-0087
Entity
Organization
Contact information
Practice address
2306 CHESNEE HWY, SUITE 1, SPARTANBURG, SC 29303-5500
(864) 577-0087
(864) 577-0599
Mailing address
2306 CHESNEE HWY, SUITE 1, SPARTANBURG, SC 29303-5500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DE1599
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750351
—
SC
05
—
DE1599
—
SC
Enumeration date
02/08/2007
Last updated
08/22/2020
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