Organization
PEE DEE FAMILY PHARMACY
Active
Other names
PEE DEE HOME MED SUPPLY AND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ALTMAR PHARM D (OWNER)
(843) 841-9003
Entity
Organization
Contact information
Practice address
608 N 4TH AVE, DILLON, SC 29536-2502
(843) 841-9003
(843) 841-9736
Mailing address
608 N 4TH AVE, DILLON, SC 29536-2502
(843) 841-9003
(843) 841-9736
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10377
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223789
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
759794
—
SC
Enumeration date
11/08/2006
Last updated
12/15/2009
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