# THOMAS DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** YES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558386060
- **Legal business name:** YES
- **Authorized official:** MRS. NELL F ROBINSON RPH (PRESIDENT)
- **Authorized official phone:** (803) 475-9665

## Contact information

- **Practice address:** 203 W MARION ST, KERSHAW, SC 29067-1412
- **Practice address phone:** (803) 475-9665
- **Practice address fax:** (803) 475-0669
- **Mailing address:** 203 W MARION ST, P O BOX 218, KERSHAW, SC 29067-1412
- **Mailing address phone:** (803) 475-9665
- **Mailing address fax:** (803) 475-0669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 50004381 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | 50004381 | SC | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 09/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 601110 | — | SC |
| 05 | — | 743812 | — | SC |