Organization
GOLDEN TOWN PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY RAY CAPPS (OWNER)
(843) 358-7777
Entity
Organization
Contact information
Practice address
2837 HIGHWAY 501 EAST, AYNOR, SC 29511
(843) 992-6243
Mailing address
2837 HIGHWAY 501 E, AYNOR, SC 29511-3401
(843) 358-7777
(843) 358-7775
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17613
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717613
—
SC
Enumeration date
11/27/2017
Last updated
07/14/2026
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