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Organization

GOLDEN TOWN PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNY RAY CAPPS RPH (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 EAST, AYNOR, SC 29511
(843) 358-7777
(843) 358-7775

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17613
SC

Other

Enumeration date
11/27/2017
Last updated
04/03/2018
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