Healthcare Provider Details

I. General information

NPI: 1144306713
Provider Name (Legal Business Name): LYMAN DRUG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 SPARTANBURG HWY
LYMAN SC
29365-1808
US

IV. Provider business mailing address

204 SPARTANBURG HWY
LYMAN SC
29365-1808
US

V. Phone/Fax

Practice location:
  • Phone: 864-439-6127
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50008044
License Number StateSC

VIII. Authorized Official

Name: TIMOTHY ADDISON SLOAN
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 864-439-6127