Healthcare Provider Details

I. General information

NPI: 1801267331
Provider Name (Legal Business Name): DISCOUNT PHARMACY OF DILLON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2015
Last Update Date: 10/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 HIGHWAY 301 N STE B
DILLON SC
29536-2498
US

IV. Provider business mailing address

1115B US 301 NORTH
DILLON SC
29536
US

V. Phone/Fax

Practice location:
  • Phone: 843-356-0172
  • Fax: 843-383-8855
Mailing address:
  • Phone: 843-356-0172
  • Fax: 843-383-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateSC

VIII. Authorized Official

Name: SAMUEL EDWARD DRUCKER
Title or Position: OWNER/PHARMACIST
Credential: RPH.
Phone: 843-356-0172