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NPI Code Detail

MEDICARE: LAURENS PHARMACY CO LLC

MEDICARE: LAURENS PHARMACY CO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578265906
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAURENS PHARMACY CO LLC
Provider Business Mailing Address
First Line : 923 W MAIN ST
Second Line :
City : LAURENS
State : SC
Zip : 29360-2605
Country : US
Telephone Number : 864-984-6023
Fax Number : 864-681-8281
Provider Business Practice Location Address
First Line : 923 W MAIN ST
Second Line :
City : LAURENS
State : SC
Zip : 29360-2605
Country : US
Telephone Number : 864-984-6023
Fax Number : 864-681-8281
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : DAVID CLAUDE BURROUGHS
Credential : RPH
Telephone Number : 864-915-2109
Provider Enumeration Date : 03/20/2023
Last Update Date : 05/16/2025

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Directions to “LAURENS PHARMACY CO LLC ” Practice Location

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