Organization
MMRX OF EASLEY INC
Active
Other names
FRIERSONS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MUIR RPH (PRESIDENT)
(864) 859-4015
Entity
Organization
Contact information
Practice address
101 W MAIN ST, EASLEY, SC 29640-2038
(864) 859-4015
(864) 859-3396
Mailing address
101 W MAIN ST, EASLEY, SC 29640-2038
(864) 859-4015
(864) 859-3396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7176
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4203876
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
605223
—
SC
05
—
771763
—
SC
Enumeration date
02/15/2006
Last updated
08/30/2010
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