Organization
RIVERTOWN PHARMACY INC
Active
Other names
Rivertown Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THELBERT DALE TODD JR. (OWNER)
(843) 488-4400
Entity
Organization
Contact information
Practice address
2000 MAIN ST, CONWAY, SC 29526-3335
(843) 488-4400
(843) 488-4401
Mailing address
2000 MAIN ST, CONWAY, SC 29526-3335
(843) 488-4400
(800) 881-4793
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14323
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14323
STATE PHARMACY PERMIT
SC
Enumeration date
01/02/2013
Last updated
09/20/2023
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