Provider Demographics
NPI:1386066132
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
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:803-984-1560
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:2014-01-14
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy