Gray Court Pharmacy

Organization Active NPI Pharmacy · Gray Court, SC

NPI 1215064571 · NPPES record last updated Feb 9, 2009

Key facts

NPI
1215064571
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
50001172 (SC)
Legal business name
GRAY COURT PHARMACY
Practice address
345 West Main St
Gray Court, SC 29645
Phone
(864) 876-3837
Fax
(864) 876-1137
NPI assigned
Feb 27, 2007
Organization subpart
No

Authorized official

Name
William Daniel Wood, RPH
Title
Owner Pharmacist
Phone
(864) 876-3837

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50001172 SC Yes

Addresses

Primary practice location

345 West Main St
Gray Court, SC 29645

Mailing address

PO Box 96
Gray Court, SC 29645
Phone (864) 876-3837

Other identifiers

IdentifierTypeStateIssuer
711725MedicaidSC

Other providers in Gray Court, SC

All providers in Gray Court, SC · Pharmacy in South Carolina

Sources for this page

Verify at the official NPI Registry.