Organization
LANDRUM DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WAYNE BURDETTE RPH CCN (PARTNER)
(864) 457-2401
Entity
Organization
Contact information
Practice address
104 WEST RUTHERFORD RD, LANDRUM, SC 25356-1526
(864) 457-2401
(864) 457-2583
Mailing address
104 WEST RUTHERFORD RD, LANDRUM, SC 25356-1526
(864) 457-2401
(864) 457-2583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2482
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724820
—
SC
Enumeration date
02/27/2007
Last updated
05/24/2021
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