# MED MART WECO LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MED MART WECO LLC
- **Other names:** Medicine Mart of West Columbia (LTC)
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598579443
- **Legal business name:** MED MART WECO LLC
- **Authorized official:** MICHAEL ADAM GLEATON PHARMD (OWNER)
- **Authorized official phone:** (803) 957-5969

## Contact information

- **Practice address:** 1300 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
- **Practice address phone:** (803) 791-7043
- **Practice address fax:** (803) 796-1519
- **Mailing address:** 1300 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
- **Mailing address phone:** (803) 791-7043
- **Mailing address fax:** (803) 796-1519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025