Black River Grocery LLC
NPI #1689730913 in Andrews, South Carolina
Provider Information
- NPI Number
- 1689730913
- Entity Type
- Organization
- Organization Name
- Black River Grocery LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 15 W ASHLAND ST
- City
- Andrews
- State
- South Carolina
- ZIP Code
- 29510-2543
- Phone
- (843) 264-3291
Authorized Official
- Name
- TROY BLAKELY LAMB, PHARMD
- Title
- PIC
- Phone
- (843) 264-3291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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