Organization
THE MEDICINE SHOPPE #1425
Active
Parent organization
THE MEDICINE SHOPPE #1425
Other names
Creech Douglas Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MEDICINE SHOPPE #1425
Authorized official
MS. LISA CREECH DOUGLAS RPH (CEO)
(843) 841-9600
Entity
Organization
Contact information
Practice address
101 HWY 301 SOUTH, DILLON, SC 29536-3447
(843) 841-9600
(843) 774-3860
Mailing address
101 HWY 301 SOUTH, PO BOX 867, DILLON, SC 29536-3447
(843) 841-9600
(843) 774-3860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7462
SC
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
50003431
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4219538
OTHER ID NUMBER
—
Enumeration date
02/21/2007
Last updated
06/25/2008
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