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Organization

BLACK RIVER GROCERY LLC

Active
Other names
Andrews RX
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY LAMBERT ALLEN (OWNER)
(843) 264-3291
Entity
Organization

Contact information

Practice address
15 W ASHLAND ST, ANDREWS, SC 29510-2543
(843) 264-3291
(843) 264-5425
Mailing address
15 W ASHLAND ST, ANDREWS, SC 29510-2543
(843) 264-3291
(843) 264-5425

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
04/11/2025
Last updated
04/11/2025
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