Organization
KRT ENTERPRISES
Active
Other names
Medicine Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERMIT RANDALL TODD RPH (RPH/OWNER)
(843) 248-4609
Entity
Organization
Contact information
Practice address
1401 MAIN ST, CONWAY, SC 29526-3568
(843) 248-4609
(843) 488-0770
Mailing address
1401 MAIN ST, CONWAY, SC 29526-3568
(843) 248-4609
(843) 488-0770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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