# KERR DRUG INC A DELAWARE COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KERR DRUG 612
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215049267
- **Authorized official:** STACY VROOMAN RPH (PHARMACIST MANAGER)
- **Authorized official phone:** (843) 795-1818

## Contact information

- **Practice address:** 861 FOLLY RD, CHARLESTON, SC 29412-3454
- **Practice address phone:** (843) 795-1818
- **Practice address fax:** (843) 795-0393
- **Mailing address:** 861 FOLLY RD, CHARLESTON, SC 29412-3454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 3938 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4220846 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 739386 | — | SC |