Healthcare Provider Details

I. General information

NPI: 1649227133
Provider Name (Legal Business Name): LANDRUM DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W RUTHERFORD RD
LANDRUM SC
29356
US

IV. Provider business mailing address

104 W RUTHERFORD RD
LANDRUM SC
29356
US

V. Phone/Fax

Practice location:
  • Phone: 864-457-2401
  • Fax: 864-457-2583
Mailing address:
  • Phone: 864-457-2401
  • Fax: 864-457-2583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. HAILEY MULLINAX BRANYON
Title or Position: OWNER
Credential: PHARMD
Phone: 864-457-2401