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Organization

MED MART WECO LLC

Active
Parent organization
MED MART WECO LLC
Other names
Medicine Mart of West Columbia (LTC)
Organization subpart
Yes

Provider details

NPI number
Legal business name
MED MART WECO LLC
Authorized official
MICHAEL ADAM GLEATON PHARMD (OWNER)
(803) 957-5969
Entity
Organization

Contact information

Practice address
1300 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
(803) 791-7043
(803) 796-1519
Mailing address
1300 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
(803) 791-7043
(803) 796-1519

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
02/03/2025
Last updated
02/03/2025
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