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Organization
MEDICINE CENTER
Active
Organization
MEDICINE CENTER
Active
Parent organization
MARY VEANNA OSEANDBA MEDICINE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY VEANNA OSEANDBA MEDICINE CENTER
Authorized official
MS. MARY VEANNA OSEAN RPH (OWNER,RPH)
(843) 355-3136
Entity
Organization
Contact information
Practice address
503 THURGOOD MARSHALL HWY, KINGSTREE, SC 29556-4107
(843) 355-3136
(843) 355-3137
Mailing address
503 THURGOOD MARSHALL HWY, KINGSTREE, SC 29556-4107
(843) 355-3136
(843) 355-3137
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50002580
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725802
—
SC
Enumeration date
05/16/2008
Last updated
05/16/2008
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