Provider Demographics
NPI:1205617750
Name:DILLON COMMUNITY PHARMACY, INC.
Entity type:Organization
Organization Name:DILLON COMMUNITY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE, VP
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:843-845-4599
Mailing Address - Street 1:200 W HARRISON ST STE A
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-3331
Mailing Address - Country:US
Mailing Address - Phone:843-774-4749
Mailing Address - Fax:843-627-0077
Practice Address - Street 1:200 W HARRISON ST STE A
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-3331
Practice Address - Country:US
Practice Address - Phone:843-774-4749
Practice Address - Fax:843-627-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy