Healthcare Provider Details

I. General information

NPI: 1891997052
Provider Name (Legal Business Name): DRUCKER DRUGS AND MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E MAIN ST
KINGSTREE SC
29556-3426
US

IV. Provider business mailing address

110 E MAIN ST
KINGSTREE SC
29556-3426
US

V. Phone/Fax

Practice location:
  • Phone: 843-354-9582
  • Fax: 843-354-6080
Mailing address:
  • Phone: 843-354-9582
  • Fax: 843-354-6080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1949
License Number StateSC

VIII. Authorized Official

Name: MR. WILLIAM EDWARD KELLAHAN
Title or Position: OWNER
Credential:
Phone: 843-354-9582