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Organization
MED MART LEX
Active
Organization
MED MART LEX
Active
Other names
Medicine Mart of Lexington SC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GLEATON (OWNER)
(803) 957-5969
Entity
Organization
Contact information
Practice address
348B COLUMBIA AVE, LEXINGTON, SC 29072-2657
(803) 957-5969
(803) 808-1829
Mailing address
348B COLUMBIA AVE, LEXINGTON, SC 29072-2657
(803) 957-5969
(803) 808-1829
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16242
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155728
PK
—
05
—
716242
—
SC
Enumeration date
11/25/2005
Last updated
12/02/2024
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