Loris Drug Store, Inc.
NPI #1700881943 in Loris, South Carolina
Provider Information
- NPI Number
- 1700881943
- Entity Type
- Organization
- Organization Name
- Loris Drug Store, Inc.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 15, 2005
- Last Updated
- Feb 13, 2008
Practice Location
- Address
- 4125 MAIN ST
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569-3023
- Phone
- (843) 756-4021
Authorized Official
- Name
- DOUGLAS SINGLETON BAILEY
- Title
- PRESIDENT
- Phone
- (843) 756-4021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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