=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700923117
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEDCARE PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1114 COTTINGHAM BLVD N SUITE B
-----------------------------------------------------
City | BENNETTSVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29512-2856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-479-7101
-----------------------------------------------------
Fax | 843-479-3561
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1114 COTTINGHAM BLVD N SUITE B
-----------------------------------------------------
City | BENNETTSVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29512-2856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-479-7101
-----------------------------------------------------
Fax | 843-479-3561
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | GLENN DOWDY
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 843-479-7101
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------