Organization
MICHAEL L THOMPSON DBA BRIDGERS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI T NOLAND (OFFICE MANAGER)
(843) 423-2682
Entity
Organization
Contact information
Practice address
305 N MAIN ST, MARION, SC 29571-3027
(843) 423-2682
(843) 423-2429
Mailing address
305 N MAIN ST, PO BOX 850, MARION, SC 29571-3027
(843) 423-2682
(843) 423-2429
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50001508
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EN2018
—
SC
Enumeration date
07/23/2007
Last updated
07/23/2007
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