# THE MEDICINE SHOPPE \#1425

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE MEDICINE SHOPPE \#1425
- **Other names:** Creech Douglas Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386789915
- **Legal business name:** THE MEDICINE SHOPPE \#1425
- **Authorized official:** MS. LISA CREECH DOUGLAS RPH (CEO)
- **Authorized official phone:** (843) 841-9600

## Contact information

- **Practice address:** 101 HWY 301 SOUTH, DILLON, SC 29536-3447
- **Practice address phone:** (843) 841-9600
- **Practice address fax:** (843) 774-3860
- **Mailing address:** 101 HWY 301 SOUTH, PO BOX 867, DILLON, SC 29536-3447
- **Mailing address phone:** (843) 841-9600
- **Mailing address fax:** (843) 774-3860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 7462 | SC | Yes |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 50003431 | SC | — |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4219538 | OTHER ID NUMBER | — |