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Organization
PEE DEE FAMILY PHARMACY
Active
Organization
PEE DEE FAMILY PHARMACY
Active
Other names
PEE DEE HOME MED SUPPLY AND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ALTMAR PHARM D (OWNER)
(843) 841-9003
Entity
Organization
Contact information
Practice address
608 N 4TH AVE, DILLON, SC 29536-2502
(843) 841-9003
(843) 841-9736
Mailing address
608 N 4TH AVE, DILLON, SC 29536-2502
(843) 841-9003
(843) 841-9736
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
10377
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223789
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
759794
—
SC
Enumeration date
11/08/2006
Last updated
12/15/2009
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