# DELTA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta Pharmacy, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710745450
- **Authorized official:** VANESSA KENNEDY (PHARMACIST)
- **Authorized official phone:** (843) 761-5255

## Contact information

- **Practice address:** 402 E MAIN ST, MONCKS CORNER, SC 29461-3616
- **Practice address phone:** (843) 761-5255
- **Practice address fax:** (843) 761-5255
- **Mailing address:** 402 E MAIN ST, MONCKS CORNER, SC 29461-3616
- **Mailing address phone:** (843) 761-5255
- **Mailing address fax:** (843) 761-5255

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2024
- **Last updated:** 10/22/2024