Iva Drug Store, Inc.

NPI #1770588097 in Iva, South Carolina

Provider Information

NPI Number
1770588097
Entity Type
Organization
Organization Name
Iva Drug Store, Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 14, 2005
Last Updated
May 13, 2008

Practice Location

Address
720 E FRONT ST
City
Iva
ZIP Code
29655-9089
Phone
(864) 348-6138

Authorized Official

Name
MR. LANCE P BOLES, RPH
Title
PRESIDENT
Phone
(864) 348-6138

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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