| 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 |
|---|---|
| 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 |
Main St Medical - New Ellenton Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Main St N, New Ellenton, SC 29809 Phone: 803-443-0077 |