Organization
PAWLEYS ISLAND PHARMACY LLC
Active
Other names
PAWLEYS ISLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN COX (PRES)
(843) 235-4666
Entity
Organization
Contact information
Practice address
9710 OCEAN HWY # 17, UNIT 1, PAWLEYS ISLAND, SC 29585-7585
(843) 235-4666
(843) 235-9630
Mailing address
9710 OCEAN HWY # 17, UNIT 1, PAWLEYS ISLAND, SC 29585-7585
(843) 235-4666
(843) 235-9630
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50004654
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091642
PK
—
05
—
746542
—
SC
05
—
DE1455
—
SC
Enumeration date
10/03/2006
Last updated
06/08/2015
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