Rivertown Pharmacy Inc

Organization Active NPI Community/Retail Pharmacy · Conway, SC

NPI 1891031340 · NPPES record last updated Sep 20, 2023

Key facts

NPI
1891031340
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
14323 (SC)
Legal business name
RIVERTOWN PHARMACY INC
Practice address
2000 Main St
Conway, SC 29526-3335
Phone
(843) 488-4400
Fax
(843) 488-4401
NPI assigned
Jan 2, 2013
Organization subpart
No

Authorized official

Name
Mr. Thelbert Dale Todd Jr.
Title
Owner
Phone
(843) 488-4400

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 14323 SC Yes
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2000 Main St
Conway, SC 29526-3335

Mailing address

2000 Main St
Conway, SC 29526-3335
Phone (843) 488-4400

Other identifiers

IdentifierTypeStateIssuer
14323OtherSCSTATE PHARMACY PERMIT

Other names

  • Rivertown Pharmacy Inc Doing business as

Other providers in Conway, SC

All providers in Conway, SC · Community/Retail Pharmacy in South Carolina

Sources for this page

Verify at the official NPI Registry.