Organization
SANTEE DRUG CENTER, LLC
Active
Other names
Santee Drug Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES V MATHIS JR. PHARMD (OWNER)
(803) 435-2511
Entity
Organization
Contact information
Practice address
3931-D BYRNES DRIVE, SAINT STEPHEN, SC 29479-0910
(843) 567-3291
(843) 567-5212
Mailing address
PO BOX 429, SAINT STEPHEN, SC 29479-0429
(843) 567-3291
(843) 567-5212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71709D
—
SC
Enumeration date
06/20/2006
Last updated
01/26/2021
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