# MEDICINE MART COLUMBIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Mart Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437653441
- **Authorized official:** DR. ANDREW D WALL PHARMD (OWNER)
- **Authorized official phone:** (803) 231-2003

## Contact information

- **Practice address:** 3729 ROSEWOOD DR, COLUMBIA, SC 29205-3531
- **Practice address phone:** (803) 231-2003
- **Practice address fax:** (803) 231-2003
- **Mailing address:** 3729 ROSEWOOD DR, COLUMBIA, SC 29205-3531
- **Mailing address phone:** (803) 231-2003
- **Mailing address fax:** (803) 231-2003

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2018
- **Last updated:** 04/05/2018