Organization
THOMAS DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELL FAULKENBERRY ROBINSON RPH (PRESIDENT)
(803) 475-9665
Entity
Organization
Contact information
Practice address
203 W MARION ST, KERSHAW, SC 29067-1412
(803) 475-9665
(803) 475-0669
Mailing address
203 W MARION ST, P.O. BOX 218, KERSHAW, SC 29067-1412
(803) 475-9665
(803) 475-0669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50004381
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EN2008
CLTC
SC
Enumeration date
08/22/2007
Last updated
08/22/2007
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