Healthcare Provider Details

I. General information

NPI: 1831167873
Provider Name (Legal Business Name): DISCOUNT DRUG OF SWANSEA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N CHURCH ST
SWANSEA SC
29160-0985
US

IV. Provider business mailing address

PO BOX 985
SWANSEA SC
29160-0985
US

V. Phone/Fax

Practice location:
  • Phone: 803-568-3251
  • Fax: 803-568-7590
Mailing address:
  • Phone: 803-568-3251
  • Fax: 803-568-7590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number50004013
License Number StateSC

VIII. Authorized Official

Name: MR. ANTHONY BUCK RAY
Title or Position: PIC
Credential: RPH
Phone: 803-568-3251