Boland Pharmacy

LBN: Boland Pharmacy
Boland Pharmacy is an health care organization with primary practice located at 2732 Cleveland St , Elloree SC 29047. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Boland Pharmacy can be contacted via phone (803) 897-2133, or through Boland, Julian via phone (803) 897-2133.

Contact Information

Primary practice address
2732 Cleveland St Elloree SC 29047
Fax: (803) 897-2752
Website:
Authorized official contact:
Name: Boland, Julian

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 50001693 South Carolina

Profile Details

NPI number 1649478025
LBN Legal business name Boland Pharmacy
DBA Doing business as
Authorized official Boland, Julian
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2007
Last updated Sep 23rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649478025 NPPES
South Carolina MEDICAID 716933
South Carolina Other 4212293

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