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Contact Information

WAGENER DRUG CO INC
129 N MAIN ST
WAGENER, SC29164
 Phone: 803-564-5381
 Fax: 803-564-5398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WAGENER DRUG CO INC

NPI Number 1144362229
LBN Legal business name WAGENER DRUG CO INC
Authorized official THERESA DYCHES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 06/25/2013 - About 13 years ago
Identifiers
SC License # 6210
SC Medicaid 1001
Other 2088208 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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