Boland Pharmacy

LBN: Boland Pharmacy 2
Boland Pharmacy is an health care organization with primary practice located at 108 W Main St , Harleyville SC 29448. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Boland Pharmacy 2 can be contacted via phone (843) 462-7646, or through Rickenbacker, Judith via phone (843) 462-7646.

Contact Information

Primary practice address
108 W Main St Harleyville SC 29448
Phone: (843) 462-7646
Fax: (843) 462-7646
Website:
Map and Directions
Authorized official contact:
Name: Rickenbacker, Judith RPH
Phone: (843) 462-7646

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 428 South Carolina

Profile Details

NPI number 1013072206
LBN Legal business name Boland Pharmacy 2
DBA Doing business as Boland Pharmacy
Authorized official Rickenbacker, Judith RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Feb 21st, 2017 - about 9 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 1013072206 NPPES
South Carolina MEDICAID SC704285
South Carolina Other 2087926

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