Organization
PEAK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JO SMITH DYCHES RPH. (OWNER/PIC)
(803) 345-1707
Entity
Organization
Contact information
Practice address
22 RIVER STREET, PEAK, SC 29122
(803) 345-1707
(803) 345-8952
Mailing address
PO BOX 39, 22 RIVER STREET, PEAK, SC 29122
(803) 345-1707
(803) 345-8952
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
50000529
SC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4206050
NABP
—
05
—
705291
—
SC
Enumeration date
07/21/2006
Last updated
06/23/2023
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