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
- State
- South Carolina
- 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 Pharmacy — Community/Retail Pharmacy |
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