Marlboro Drug Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50003505 Issued in SC

Legal business name

MARLBORO DRUG COMPANY

Doing business as

Marlboro Drug Company

Practice address

113 N Marlboro St
Bennettsville, SC 29512-3142

Phone

(843) 479-4248

Fax

(843) 479-3640

NPI assigned

Oct 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jon T Lee

Title

Pic

Phone

(843) 479-4248

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARLBORO DRUG COMPANY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672444800000",
    "number": "1104913300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295120091",
            "telephone_number": "843-479-4248",
            "fax_number": "843-479-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N MARLBORO ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123142",
            "telephone_number": "843-479-4248",
            "fax_number": "843-479-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "843-479-4248"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50003505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618273",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARLBORO DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARLBORO DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlboro Clinic Corp (Marlboro Women's Health)
• Marlboro County Council (Marlboro County EMS)
• Marlboro County Disabilities & Special Needs Board
• Marlboro County Rescue Squad Inc
• Marlboro County School District
• Marlboro Emergency Group PC
• Marlboro Eye Care Associates, LLC
• Marlboro Family Dentistry
• Marlboro Family Dentistry Associates LLC
• Marlboro OB GYN

• Community/Retail Pharmacy in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.