Organization
MEDICAL COURT PHARMACY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DEAN BRADLEY R.PH. (PHARMACIST/OWNER)
(803) 773-5605
Entity
Organization
Contact information
Practice address
776 W LIBERTY ST, SUMTER, SC 29150-4748
(803) 773-5605
(803) 773-5605
Mailing address
776 W LIBERTY ST, SUMTER, SC 29150-4748
(803) 773-5605
(803) 773-5605
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50001271
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712718
—
SC
Enumeration date
05/04/2006
Last updated
08/22/2020
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