Provider Demographics
NPI:1104069707
Name:MEDS & MORE LLC
Entity type:Organization
Organization Name:MEDS & MORE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-756-4664
Mailing Address - Street 1:3914 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LORIS
Mailing Address - State:SC
Mailing Address - Zip Code:29569-3018
Mailing Address - Country:US
Mailing Address - Phone:843-756-4664
Mailing Address - Fax:843-756-4668
Practice Address - Street 1:3914 MAIN ST
Practice Address - Street 2:
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569-3018
Practice Address - Country:US
Practice Address - Phone:843-756-4664
Practice Address - Fax:843-756-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC50103573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4228563OtherNCPDP PROVIDER IDENTIFICATION NUMBER