# JAMISONS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609982636
- **Authorized official:** DR. MARK A JAMISON PHARM. D. (MANAGER)
- **Authorized official phone:** (803) 536-2165

## Contact information

- **Practice address:** 1225 GOFF AVE, ORANGEBURG, SC 29115-3671
- **Practice address phone:** (803) 536-2165
- **Practice address fax:** (803) 533-1216
- **Mailing address:** 1225 GOFF AVE, ORANGEBURG, SC 29115-3671
- **Mailing address phone:** (803) 536-2165
- **Mailing address fax:** (803) 533-1216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50000571 | SC | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 05/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 705713 | — | SC |