Organization
CHILDREN'S CARE PHARMACY
Active
Other names
Children's Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY T LEWIS RPH (PHARMACIST, CEO)
(843) 679-1881
Entity
Organization
Contact information
Practice address
1530 MCCLURE COURT, FLORENCE, SC 29505
(843) 679-1881
(843) 679-1887
Mailing address
1530 MCCLURE COURT, FLORENCE, SC 29505
(843) 679-1881
(843) 679-1887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DE2870
SC
3336C0003X
Community/Retail Pharmacy
50008779
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4226735
NCPDP
SC
05
—
787792
—
SC
05
—
DE2870
—
SC
Enumeration date
01/08/2007
Last updated
09/23/2008
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