Healthcare Provider Details

I. General information

NPI: 1003819673
Provider Name (Legal Business Name): DAP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MAIN ST
HILTON HEAD ISLAND SC
29926-1624
US

IV. Provider business mailing address

1101 MAIN ST
HILTON HEAD ISLAND SC
29926-1624
US

V. Phone/Fax

Practice location:
  • Phone: 843-681-2622
  • Fax: 843-970-1779
Mailing address:
  • Phone: 843-681-2622
  • Fax: 843-970-1779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number50002240
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50002240
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number50002240
License Number StateSC

VIII. Authorized Official

Name: WILLIAM DOUGLASS
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 843-681-2622