Organization Name: | LORIS DRUG STORE, INC. |
NPI Number: | 1700881943 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS SINGLETON BAILEY (PRESIDENT) |
Mailing Address: | 4125 Main St Loris |
State: | SC US |
Postal Code: | 295693023 |
Phone Number: | 8437564021 |
Fax Number: | 8437569124 |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 50001951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |