Blacks Drug Store, INC

NPI #1760678361 in Chester, South Carolina

Provider Information

NPI Number
1760678361
Entity Type
Organization
Organization Name
Blacks Drug Store, INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 18, 2007
Last Updated
Sep 18, 2007

Practice Location

Address
121 CHURCH ST
ZIP Code
29706-2903
Phone
(803) 581-2102

Authorized Official

Name
ROBERT KEELS WYLIE, RPH
Title
PRESIDENT
Phone
(803) 581-2102

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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