| NPI | 1053483859 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARRELL BAUER Owner Pharmacist 843-524-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50003542) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC 50003542) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-07 |