Organization
BRUNSONS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES OLIN HAM (PHARMACIST-PARTNER)
(803) 435-2511
Entity
Organization
Contact information
Practice address
12 N BROOKS ST, MANNING, SC 29102-3206
(803) 435-2511
(803) 435-4235
Mailing address
12 N BROOKS ST, MANNING, SC 29102-3206
(803) 435-2511
(803) 435-4235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50000240
SC
3336C0003X
Community/Retail Pharmacy
50000240
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4205464
NCPDP
SC
05
—
602404
—
SC
05
—
702402
—
SC
Enumeration date
12/05/2006
Last updated
09/11/2025
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