Organization
MED CENTER PHARMACY & MEDICAL SUPPLY LLC
Active
Other names
MED CENTER LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY DENNIS RPH (PHARMACY MGR)
(843) 398-7015
Entity
Organization
Contact information
Practice address
209 RUSSELL ST, SUITE C, DARLINGTON, SC 29532-3311
(843) 398-7015
(843) 398-2017
Mailing address
209 RUSSELL ST, SUITE C, DARLINGTON, SC 29532-3311
(843) 398-7015
(843) 398-2017
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092976
PK
—
05
—
785920
—
SC
Enumeration date
06/14/2006
Last updated
04/19/2016
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