# FOWLER PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOWLER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780715250
- **Authorized official:** MRS. JENNIE DALTON (MANAGER)
- **Authorized official phone:** (843) 439-2979

## Contact information

- **Practice address:** 301 E MARKET ST, BENNETTSVILLE, SC 29512-3136
- **Practice address phone:** (843) 479-3831
- **Practice address fax:** (843) 479-3832
- **Mailing address:** 301 E MARKET ST, BENNETTSVILLE, SC 29512-3136
- **Mailing address phone:** (843) 479-3831
- **Mailing address fax:** (843) 479-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 50000099 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 10/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20052219 | — | SC |
| 05 | — | DME 972 | — | SC |