Organization
GENERX PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUETTA A SLICE (OWNER)
(803) 345-0708
Entity
Organization
Contact information
Practice address
429 E BOUNDARY ST, CHAPIN, SC 29036-8388
(803) 345-0708
(803) 345-0057
Mailing address
429 E BOUNDARY ST, CHAPIN, SC 29036-8388
(803) 345-0708
(803) 345-0057
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
50003585
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735856
—
SC
Enumeration date
02/20/2007
Last updated
09/16/2008
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