Organization
CAROLINA DRUG STORE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN L. WEAVER (PRESIDENT)
(843) 393-2865
Entity
Organization
Contact information
Practice address
52 PUBLIC SQ, DARLINGTON, SC 29532-3216
(843) 393-2865
(843) 393-4445
Mailing address
52 PUBLIC SQ, DARLINGTON, SC 29532-3216
(843) 393-2865
(843) 393-4445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50002882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
728827
—
SC
Enumeration date
12/13/2006
Last updated
08/22/2020
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