Organization
FOWLER PHARMACY INC
Active
Other names
FOWLER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE DALTON (MANAGER)
(843) 479-3831
Entity
Organization
Contact information
Practice address
301 E MARKET ST, BENNETTSVILLE, SC 29512-3136
(843) 479-3831
(843) 479-3832
Mailing address
301 E MARKET ST, BENNETTSVILLE, SC 29512-3136
(843) 479-3831
(843) 479-3832
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50000099
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4202521
NABP
—
05
—
700994
—
SC
Enumeration date
04/26/2006
Last updated
10/08/2020
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