Organization
HARTSVILLE DRUG CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE H MCCULLOUGH JR. R.PH (PRESIDENT)
(843) 332-6581
Entity
Organization
Contact information
Practice address
134 W CAROLINA AVE, HARTSVILLE, SC 29550-4216
(843) 332-6581
(843) 332-7783
Mailing address
PO BOX 158, HARTSVILLE, SC 29551-0158
(843) 332-6581
(843) 332-7783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50000074
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600745
—
SC
Enumeration date
10/20/2006
Last updated
11/25/2008
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