Organization
KEMPSON REXALL DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK HESTER (OWNER)
(864) 472-2136
Entity
Organization
Contact information
Practice address
27 N MAIN ST, INMAN, SC 29349-1425
(864) 472-2136
Mailing address
27 N MAIN ST, INMAN, SC 29349-1425
(864) 472-2136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2209
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME273
—
SC
Enumeration date
05/30/2007
Last updated
12/06/2011
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