| Organization Name: | MCLEOD PHARMACY INC |
| NPI Number: | 1205823309 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID ROBERSON (RPH) |
| Mailing Address: | 127 N Main St Bishopville |
| State: | SC US |
| Postal Code: | 290101413 |
| Phone Number: | 8034846115 |
| Fax Number: | 8034844128 |
| NPI Enumeration Date: | 10/04/2005 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 8364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |