# MEDICINE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARY VEANNA OSEANDBA MEDICINE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306003462
- **Legal business name:** MARY VEANNA OSEANDBA MEDICINE CENTER
- **Authorized official:** MS. MARY VEANNA OSEAN RPH (OWNER,RPH)
- **Authorized official phone:** (843) 355-3136

## Contact information

- **Practice address:** 503 THURGOOD MARSHALL HWY, KINGSTREE, SC 29556-4107
- **Practice address phone:** (843) 355-3136
- **Practice address fax:** (843) 355-3137
- **Mailing address:** 503 THURGOOD MARSHALL HWY, KINGSTREE, SC 29556-4107
- **Mailing address phone:** (843) 355-3136
- **Mailing address fax:** (843) 355-3137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50002580 | SC | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 725802 | — | SC |