Healthcare Provider Details

I. General information

NPI: 1700923117
Provider Name (Legal Business Name): MEDCARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 COTTINGHAM BLVD N SUITE B
BENNETTSVILLE SC
29512-2856
US

IV. Provider business mailing address

1114 COTTINGHAM BLVD N SUITE B
BENNETTSVILLE SC
29512-2856
US

V. Phone/Fax

Practice location:
  • Phone: 843-479-7101
  • Fax: 843-479-3561
Mailing address:
  • Phone: 843-479-7101
  • Fax: 843-479-3561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateSC

VIII. Authorized Official

Name: GLENN DOWDY
Title or Position: OWNER
Credential: RPH
Phone: 843-479-7101