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NPI Code Detail

MEDICARE: KERR DRUG INC A DELAWARE COMPANY

MEDICARE: KERR DRUG INC A DELAWARE COMPANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy3934SC
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24220810OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1225148919
Entity Type Code : Organization
Provider Name (Legal Business Name) : KERR DRUG INC A DELAWARE COMPANY
Provider Business Mailing Address
First Line : 5017 DORCHESTER RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29418-5604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5017 DORCHESTER RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29418-5604
Country : US
Telephone Number : 843-552-2272
Fax Number : 843-552-4150
Authorized Official
Title or Position : PHARMACIST MANAGER
Name : MICHELE BLANCETT
Credential : RPH
Telephone Number : 843-552-2272
Provider Enumeration Date : 08/30/2006
Last Update Date : 09/11/2025

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Directions to “KERR DRUG INC A DELAWARE COMPANY ” Practice Location

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