Organization
BLOCKER & TIMMERMAN DRUG CO.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK B. HODGE R.PH. (PRESIDENT)
(803) 637-6155
Entity
Organization
Contact information
Practice address
300 MAIN ST, EDGEFIELD, SC 29824-1326
(803) 637-6155
(803) 637-3753
Mailing address
300 MAIN ST, EDGEFIELD, SC 29824-1326
(803) 637-6155
(803) 637-3753
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50-000987
SC
333600000X
Pharmacy
50-000987
SC
Other
Enumeration date
06/09/2005
Last updated
09/11/2025
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