Town And Country Pharmacy | |
606 Main St N New Ellenton SC 29809-2534 | |
(803) 652-3006 | |
(803) 652-3036 |
Full Name | Town And Country Pharmacy |
---|---|
Speciality | Clinic/center |
Location | 606 Main St N, New Ellenton, South Carolina |
Authorized Official Name and Position | Adriana Maria Haltiwanger (OWNER) |
Authorized Official Contact | 8036446721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Town And Country Pharmacy Po Box 442 New Ellenton SC 29809-0442 Ph: (803) 652-3006 | Town And Country Pharmacy 606 Main St N New Ellenton SC 29809-2534 Ph: (803) 652-3006 |
NPI Number | 1346432192 |
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Provider Enumeration Date | 08/15/2007 |
Last Update Date | 05/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346432192 | NPI | - | NPPES |
DE3078 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 010100 (South Carolina) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |