Organization
MEDICINE MART OF ORANGEBURG INC
Active
Other names
MEDICINE MART
Organization subpart
No
Provider details
NPI number
Authorized official
PAT WOOTEN RPH (OWNER)
(803) 531-3141
Entity
Organization
Contact information
Practice address
1291 BROUGHTON ST, ORANGEBURG, SC 29115-5967
(803) 531-3141
(803) 531-3143
Mailing address
PO BOX 1685, ORANGEBURG, SC 29116-1685
(803) 531-3141
(803) 531-3143
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50009035
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4216075
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
723222
—
SC
05
—
790356
—
SC
Enumeration date
10/03/2006
Last updated
12/28/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up