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PEACH VALLEY PHARMACY LLC NPI 1528319548


NPI Information

NPI: 1528319548
Provider Name: PEACH VALLEY PHARMACY, LLC

Doing Business As: U SAVE IT PHARMACY - PEACH VALLEY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 42D2244612

Address:
2310 CHESNEE HWY
SPARTANBURG, SC
ZIP 29303
Phone: (864) 577-0087
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PEACH VALLEY PHARMACY, LLC is a pharmacy in Spartanburg, SC. The provider is 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. PEACH VALLEY PHARMACY, LLC NPI is 1528319548. The provider is registered as an organization entity type.
The provider Is Doing Business As U Save It Pharmacy - Peach Valley.

The provider's business location address is:

2310 CHESNEE HWY
SPARTANBURG, SC
ZIP 29303-505
Phone: (864) 577-0087
Fax: (864) 577-0599

The provider's authorized official is Thomas Sharpe .
The authorized official title is Member and has the following contact phone number (229) 435-4571.

The CLIA number assigned to this NPI record is 42D2244612 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 7/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy14209SOUTH CAROLINANo
2333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12137378OTHERPK
2714209MEDICAIDSOUTH CAROLINA
31528319548MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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