# MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC

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

## Provider details

- **NPI number:** 1871775841
- **Authorized official:** MRS. JESSICA NICOLE CROWE BARNWELL PHARM D (DIRECTOR OUTPATIENT PHARMACY)
- **Authorized official phone:** (843) 777-2166

## Contact information

- **Practice address:** 501 E CHEVES ST STE D, FLORENCE, SC 29506
- **Practice address phone:** (843) 777-2166
- **Practice address fax:** (843) 777-2950
- **Mailing address:** 501 E CHEVES ST, SUITE D, FLORENCE, SC 29506
- **Mailing address phone:** (843) 777-2166
- **Mailing address fax:** (843) 777-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6273 | SC | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 09/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2089894 | PK | — |
