# GOLDEN TOWN PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376057570
- **Authorized official:** JOHNNY RAY CAPPS (OWNER)
- **Authorized official phone:** (843) 358-7777

## Contact information

- **Practice address:** 2837 HIGHWAY 501 EAST, AYNOR, SC 29511
- **Practice address phone:** (843) 992-6243
- **Mailing address:** 2837 HIGHWAY 501 E, AYNOR, SC 29511-3401
- **Mailing address phone:** (843) 358-7777
- **Mailing address fax:** (843) 358-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 17613 | SC | Yes |

## Other

- **Enumeration date:** 11/27/2017
- **Last updated:** 07/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 717613 | — | SC |