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 |