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Organization
DICKERSON INVESTMENTS LLC
Active
Organization
DICKERSON INVESTMENTS LLC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAROLD DICKERSON RPH (OWNER PHARMACIST)
(803) 539-0694
Entity
Organization
Contact information
Practice address
3160 NORTH RD, ORANGEBURG, SC 29118-2805
(803) 539-0694
(803) 539-2914
Mailing address
3160 NORTH RD, ORANGEBURG, SC 29118-2805
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50006052
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223498
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
760521
—
SC
05
—
DE1908
—
SC
Enumeration date
11/15/2006
Last updated
03/07/2023
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