Organization
FORT MILL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN LEE STEELE (OWNER)
(803) 548-2851
Entity
Organization
Contact information
Practice address
601 SPRINGCREST DR, FORT MILL, SC 29715-7314
(803) 548-2851
(803) 802-0344
Mailing address
601 SPRINGCREST DR, FORT MILL, SC 29715-7314
(803) 548-2851
(803) 802-0344
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1194
—
SC
Enumeration date
11/16/2006
Last updated
08/22/2020
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