# BULLS DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE SHOPPE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760594774
- **Authorized official:** JAMES W BULL RPH (OWNER PHARMACIST)
- **Authorized official phone:** (843) 549-9565

## Contact information

- **Practice address:** 1315 N JEFFERIES BLVD, WALTERBORO, SC 29488-2732
- **Practice address phone:** (843) 549-9565
- **Practice address fax:** (843) 549-8526
- **Mailing address:** 1315 N JEFFERIES BLVD, WALTERBORO, SC 29488-2732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 50005059 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4219235 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 750590 | — | SC |
