Black River Grocery LLC
NPI #1952196867 in Andrews, South Carolina
Provider Information
- NPI Number
- 1952196867
- Entity Type
- Organization
- Organization Name
- Black River Grocery LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 11, 2025
- Last Updated
- Apr 11, 2025
Practice Location
- Address
- 15 W ASHLAND ST
- City
- Andrews
- State
- South Carolina
- ZIP Code
- 29510-2543
- Phone
- (843) 264-3291
Authorized Official
- Name
- WENDY LAMBERT ALLEN
- Title
- OWNER
- Phone
- (843) 264-3291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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