Organization
MARLBORO DRUG COMPANY
Active
Other names
MARLBORO DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
JON T LEE (PIC)
(843) 479-4248
Entity
Organization
Contact information
Practice address
113 N MARLBORO ST, BENNETTSVILLE, SC 29512-3142
(843) 479-4248
(843) 479-3640
Mailing address
PO BOX 91, BENNETTSVILLE, SC 29512-0091
(843) 479-4248
(843) 479-3640
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50003505
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089193
PK
—
05
—
618273
—
SC
Enumeration date
10/07/2006
Last updated
12/31/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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