Organization
P I STORES INC
Active
Other names
Pharmacy Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MOON (OWNER)
(716) 720-5121
Entity
Organization
Contact information
Practice address
640 CONGAREE RD, GREENVILLE, SC 29607-3518
(864) 241-0477
(716) 708-6248
Mailing address
2532 JOHNS PLACE, JAMESTOWN, NY 14701
(716) 720-5121
(716) 708-6248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10460
SC
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126269
PK
—
05
—
710460
—
SC
Enumeration date
08/16/2010
Last updated
07/13/2022
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