Organization
DICKERSON INVESTMENTS LLC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAROLD DICKERSON RPH (OWNER PHARMACIST)
(803) 539-0694
Entity
Organization
Contact information
Practice address
3160 NORTH RD, ORANGEBURG, SC 29118-2805
(803) 539-0694
(803) 539-2914
Mailing address
3160 NORTH RD, ORANGEBURG, SC 29118-2805
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50006052
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223498
OTHER ID NUMBER
—
05
—
760521
—
SC
05
—
DE1908
—
SC
Enumeration date
11/15/2006
Last updated
03/07/2023
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