Organization
MULLINS DISCOUNT DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROGER BROWN JR. (PIC/OWNER)
(843) 464-1757
Entity
Organization
Contact information
Practice address
310 S MAIN ST, MULLINS, SC 29574-3112
(843) 464-1757
(843) 464-1751
Mailing address
310 S MAIN ST, MULLINS, SC 29574-3112
(843) 464-1757
(843) 464-1751
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50-0006374
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223943
NCPDP
SC
05
—
763717
—
SC
Enumeration date
04/06/2006
Last updated
10/13/2023
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