Provider Demographics
NPI:1093559080
Name:PUGH DRUG OF B-L, INC
Entity type:Organization
Organization Name:PUGH DRUG OF B-L, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:803-924-5963
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:PROSPERITY
Mailing Address - State:SC
Mailing Address - Zip Code:29127-0147
Mailing Address - Country:US
Mailing Address - Phone:803-580-2400
Mailing Address - Fax:803-580-2511
Practice Address - Street 1:317 VILLAGE SQUARE DR
Practice Address - Street 2:
Practice Address - City:BATESBURG-LEESVILLE
Practice Address - State:SC
Practice Address - Zip Code:29070
Practice Address - Country:US
Practice Address - Phone:803-580-2400
Practice Address - Fax:803-580-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy