Organization
SUMTER CUT RATE DRUGSTORE II INC
Active
Other names
Sumter Cut Rate Drugstore II Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD GIBBONS (PARTNER)
(803) 773-8432
Entity
Organization
Contact information
Practice address
26 S MAIN ST, SUMTER, SC 29150-5245
(803) 775-0533
(803) 436-5533
Mailing address
32 S MAIN ST, SUMTER, SC 29150-5245
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5010095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4227991
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/27/2008
Last updated
08/27/2008
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