Organization
FOWLER PHARMACY INC
Active
Other names
FOWLER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE DALTON (MANAGER)
(843) 439-2979
Entity
Organization
Contact information
Practice address
301 E MARKET ST, BENNETTSVILLE, SC 29512-3136
(843) 479-3831
(843) 479-3832
Mailing address
301 E MARKET ST, BENNETTSVILLE, SC 29512-3136
(843) 479-3831
(843) 479-3832
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
50000099
SC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20052219
—
SC
05
—
DME 972
—
SC
Enumeration date
03/08/2007
Last updated
10/09/2020
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