# DELTA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta Pharmacy, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275596249
- **Authorized official:** SHERRY PARSONS (OFFICE MANAGER)
- **Authorized official phone:** (843) 761-5255

## Contact information

- **Practice address:** 402 E MAIN ST, MONCKS CORNER, SC 29461-3616
- **Practice address phone:** (843) 761-5255
- **Practice address fax:** (843) 899-4970
- **Mailing address:** 402 E MAIN ST, MONCKS CORNER, SC 29461-3616
- **Mailing address phone:** (843) 761-5255
- **Mailing address fax:** (843) 899-4970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1991 | SC | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 10/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 719914 | — | SC |