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Organization

MBD PHARMACY

Active
Parent organization
MYRTLE BEACH DIET
Organization subpart
Yes

Provider details

NPI number
Legal business name
MYRTLE BEACH DIET
Authorized official
LAURA GORE RPH (PHARMACIST)
(843) 692-9494
Entity
Organization

Contact information

Practice address
6507 N KINGS HWY, MYRTLE BEACH, SC 29572-3010
(843) 692-9494
(843) 692-7474
Mailing address
6507 N KINGS HWY, MYRTLE BEACH, SC 29572-3010
(843) 692-9494
(843) 692-7474

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary

Other

Enumeration date
09/12/2025
Last updated
09/12/2025
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