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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
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