Black River Pharmacy LLC
NPI #1467002816 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1467002816
- Entity Type
- Organization
- Organization Name
- Black River Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 18, 2019
- Last Updated
- Sep 18, 2019
Practice Location
- Address
- 32A N WILLIAMSBURG COUNTY HWY
- City
- Kingstree
- State
- South Carolina
- ZIP Code
- 29556-2433
- Phone
- (843) 355-5656
Authorized Official
- Name
- SAMUEL EDWARD DRUCKER, RPH.
- Title
- OWNER
- Phone
- (843) 356-0172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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