Sup - Rx Pharmacy #92
NPI #1184961641 in Florence, South Carolina
Provider Information
- NPI Number
- 1184961641
- Entity Type
- Organization
- Organization Name
- Sup - Rx Pharmacy #92
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 3, 2013
- Last Updated
- Feb 25, 2013
Practice Location
- Address
- 1945 W PALMETTO ST
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29501-3919
- Phone
- (843) 673-9107
Authorized Official
- Name
- MR. ROBERT BRYAN MOODY, RPH
- Title
- PIC
- Phone
- (843) 673-9107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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