| NPI | 1750527834 |
|---|---|
| Doing Business As | PINE RIDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KYLE MCHUGH President 803-939-8489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50010273) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2024-01-22 |