<Unavail>

LBN: Gustafsons Apothecary Llc
<Unavail> is an health care organization with primary practice located at 835 Sparkleberry Lane , Columbia SC 29229-2922. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gustafsons Apothecary Llc can be contacted via phone (803) 567-3107, or through Gamble, Yalander via phone (803) 738-5706.

Contact Information

Primary practice address
835 Sparkleberry Lane Columbia SC 29229-2922
Phone: (803) 567-3107
Fax: (803) 736-6228
Website:
Map and Directions
Authorized official contact:
Name: Gamble, Yalander
Phone: (803) 738-5706

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 15837 South Carolina

Profile Details

NPI number 1558756072
LBN Legal business name Gustafsons Apothecary Llc
DBA Doing business as <Unavail>
Authorized official Gamble, Yalander
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2015
Last updated Feb 23rd, 2021 - about 5 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 1558756072 NPPES
Other 2150419 PK
MEDICAID 715837 PK

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