# SANTEE DRUG CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santee Drug Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306882428
- **Authorized official:** DR. JAMES V MATHIS JR. PHARMD (OWNER)
- **Authorized official phone:** (803) 435-2511

## Contact information

- **Practice address:** 3931-D BYRNES DRIVE, SAINT STEPHEN, SC 29479-0910
- **Practice address phone:** (843) 567-3291
- **Practice address fax:** (843) 567-5212
- **Mailing address:** PO BOX 429, SAINT STEPHEN, SC 29479-0429
- **Mailing address phone:** (843) 567-3291
- **Mailing address fax:** (843) 567-5212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 17095 | SC | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 01/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 71709D | — | SC |