Marlboro Drug Company

LBN: Marlboro Drug Company
Marlboro Drug Company is an health care organization with primary practice located at 113 N Marlboro St , Bennettsville SC 29512-3142. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Marlboro Drug Company can be contacted via phone (843) 479-4248, or through Lee, Jon T via phone (843) 479-4248.

Contact Information

Primary practice address
113 N Marlboro St Bennettsville SC 29512-3142
Phone: (843) 479-4248
Fax: (843) 479-3640
Website:
Map and Directions
Authorized official contact:
Name: Lee, Jon T
Phone: (843) 479-4248

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 50003505 South Carolina

Profile Details

NPI number 1104913300
LBN Legal business name Marlboro Drug Company
DBA Doing business as Marlboro Drug Company
Authorized official Lee, Jon T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Dec 31st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104913300 NPPES
Other 2089193 PK
MEDICAID 618273 PK

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