Organization
PIGGLY WIGGLY LAKE CITY INC
Active
Other names
PIGGLY WIGGLY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER MCGILL PLAYER RPH (MGR)
(843) 394-3121
Entity
Organization
Contact information
Practice address
269 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2437
(843) 394-3121
(843) 394-2551
Mailing address
269 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2437
(843) 394-3121
(843) 394-2551
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275729444
—
SC
Enumeration date
08/23/2012
Last updated
08/23/2012
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