Organization
MED CENTER PHARMACY & MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN D WEESNER (CFO)
(843) 395-8971
Entity
Organization
Contact information
Practice address
209 RUSSELL STREET, DARLINGTON, SC 29532
(843) 398-7006
(843) 398-7017
Mailing address
209 RUSSELL STREET, DARLINGTON, SC 29532
(843) 398-7006
(843) 398-7017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
20056062
SC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559023
—
SC
Enumeration date
09/19/2005
Last updated
07/14/2008
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