# M & D DRUG CO

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

## Provider details

- **NPI number:** 1679648448
- **Authorized official:** MR. WARREN TODD CREEL R.PH. (V. PRESIDENT)
- **Authorized official phone:** (843) 374-3711

## Contact information

- **Practice address:** 117 E. MAIN ST., LAKE CITY, SC 29560
- **Practice address phone:** (843) 374-3711
- **Practice address fax:** (843) 374-8925
- **Mailing address:** 117 E. MAIN ST, LAKE CITY, SC 29560
- **Mailing address phone:** (843) 374-3711
- **Mailing address fax:** (843) 374-8925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50001639 | SC | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 07/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4205147 | NABP | — |
| 05 | — | 716396 | — | SC |