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Organization
TIMMONSVILLE DRUG INC
Active
Organization
TIMMONSVILLE DRUG INC
Active
Other names
TIMMONSVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MOORE (TREASURER MANG)
(843) 346-5410
Entity
Organization
Contact information
Practice address
309 E SMITH ST, TIMMONSVILLE, SC 29161-1821
(843) 346-5410
(843) 346-5414
Mailing address
309 E SMITH ST, TIMMONSVILLE, SC 29161-1821
(843) 346-5410
(843) 346-5414
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4683
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4216568
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
746837
—
SC
Enumeration date
03/28/2006
Last updated
08/07/2009
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