NPI 1033423348

Specialty Pharmacy Myrtle Beach LLC

Organisation Community/Retail Pharmacy Myrtle Beach, SC

Practice location

Address: 5900 N Kings Hwy STE C, Myrtle Beach, SC 29577-2326
Phone: (843) 712-1703
Fax: (843) 712-1705

Authorised official

Name: Billy Wease
Title: Owner
Phone: (704) 913-7450

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 11125 (SC)

Other Pharmacy providers in South Carolina →

Pharmacy

Suppliers Taxonomy 333600000X

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X

Registry record

NPI: 1033423348
Entity type: Organization
NPI issued: 28 Jul 2010
Record last updated: 1 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.