Organization
ORANGEBURG PHARMACY INC
Active
Other names
ORANGEBURG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GRAMLING RPH (PRESIDENT)
(803) 534-5727
Entity
Organization
Contact information
Practice address
1425 RUSSELL ST, ORANGEBURG, SC 29115-6070
(803) 534-5727
(803) 531-2837
Mailing address
PO BOX 1425, ORANGEBURG, SC 29116-1425
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1812
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4205971
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
603617
—
SC
05
—
718123
—
SC
Enumeration date
09/20/2006
Last updated
07/11/2011
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