Organization
MED-CENTER PHARMACY & MEDICAL SUPPLY LLC
Active
Other names
MEDICAL CENTER PHARMACY AND MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY DENNIS RPH (PHARMACY MANAGER)
(843) 398-7015
Entity
Organization
Contact information
Practice address
209 RUSSELL ST, DARLINGTON, SC 29532-3311
(843) 398-7015
(843) 398-7017
Mailing address
209 RUSSELL ST, DARLINGTON, SC 29532-3311
(843) 398-7015
(843) 398-7017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090640
PK
—
05
—
730013
—
SC
Enumeration date
06/14/2006
Last updated
08/19/2016
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