Organization
BLYTHEWOOD PROFESSIONAL DRUG COMPANY
Active
Other names
Blythewood Pharmacy and Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E. DAVID THAMES (PHARMACY OWNER)
(803) 786-8110
Entity
Organization
Contact information
Practice address
710 UNIVERSITY VILLAGE DR STE C, BLYTHEWOOD, SC 29016-7611
(803) 786-8110
(803) 735-3302
Mailing address
PO BOX 803, BLYTHEWOOD, SC 29016-0803
(803) 786-8110
(803) 735-3302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50008013
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2527
—
SC
Enumeration date
06/27/2007
Last updated
12/07/2023
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