Healthcare Provider Details

I. General information

NPI: 1295901452
Provider Name (Legal Business Name): CASH DISCOUNT DRUGSTOREINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 N PARLER AVE
SAINT GEORGE SC
29477-2224
US

IV. Provider business mailing address

PO BOX 26
SAINT GEORGE SC
29477-0026
US

V. Phone/Fax

Practice location:
  • Phone: 843-563-3034
  • Fax: 843-563-3035
Mailing address:
  • Phone: 843-563-3034
  • Fax: 843-563-3035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number50001938
License Number StateSC

VIII. Authorized Official

Name: MR. JAMES LEROW HODGES
Title or Position: PHARMACIST
Credential:
Phone: 843-563-3034