Organization
MJW CORPORATION
Active
Other names
FAMILY PHARMACY-SOUTH AIKEN DME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ROBERT WATTS II R. PH. (PHARMACIST OWNER)
(803) 599-1776
Entity
Organization
Contact information
Practice address
110 PRICE AVE, AIKEN, SC 29803-7395
(803) 648-1776
(803) 649-7381
Mailing address
421 GOOD HOPE FARMS RD, AIKEN, SC 29803-6933
(803) 599-1776
(803) 649-7381
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5010379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010379
SC PHARMACY PERMIT
SC
Enumeration date
04/16/2009
Last updated
04/16/2009
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