Sup Rx Pharmacy

NPI 1972690857

Information of Sup Rx Pharmacy

The NPI 1972690857 is an Organization type. NPI No 1972690857 belongs to Sup Rx Pharmacy. Sup Rx Pharmacy specializes in Pharmacy. is practising at 1455 S Guignard Dr, Sumter, South Carolina 29150. You can also contact him via phone number (803) 778-5758.

Practice address located

  • 1455 S Guignard Dr
  • Sumter, South Carolina 29150
  • (803) 778-5758
  • (803) 778-5758

Mailling address located

  • 1455 S Guignard Dr
  • Sumter, South Carolina 29150
  • (803) 778-5758
  • (803) 778-5763
NPI No 1972690857
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No333600000XPharmacyn/an/a
Yes3336C0003XCommunity/Retail Pharmacy5038South Carolina
Identifier for this provider
StateIdentifierTypeIssuer
SC750384Medicaidn/a
SC729866Medicaidn/a
n/a2091737OtherPK
Similar NPIs No