Provider Information for 1679116453
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CBTP PARTNERS LLC
Other Names:Doing Business As:WOODRUFF HEALTH MART PHARMACYOrganization Subpart: NO
NPI: 1679116453
Last Updated: 2019-10-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679116453 | ||||||||
| Enumeration Date | 2019-10-23 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: Mr. CHARLES N BAUMGARDNER RPh Title: Co-owner/Pharmacist Phone: 8643169689 | ||||||||
| Mailing Address | 10195 HIGHWAY 221 STE 5 WOODRUFF, SC 29388-9358 United States Phone: 864-670-8150 | Fax:864-670-8151 | ||||||||
| Primary Practice Address | 10195 HIGHWAY 221 STE 5 WOODRUFF, SC 29388-9358 United States Phone: 864-670-8150 | Fax:864-670-8151 | ||||||||
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