Irmo Family Pharmacy Llc

LBN: Irmo Family Pharmacy Llc
Irmo Family Pharmacy Llc is an health care organization with primary practice located at 7001 St Andrews Rd A-16, Columbia SC 29212. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Irmo Family Pharmacy Llc can be contacted via phone (803) 749-9988, or through Mims, Phillip D via phone (803) 917-3627.

Contact Information

Primary practice address
7001 St Andrews Rd A-16 Columbia SC 29212
Phone: (803) 749-9988
Fax: (803) 749-9096
Website:
Map and Directions
Authorized official contact:
Name: Mims, Phillip D
Phone: (803) 917-3627

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 50007248 South Carolina
Suppliers / Pharmacy 333600000X 50009341 South Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1366531055
LBN Legal business name Irmo Family Pharmacy Llc
DBA Doing business as
Authorized official Mims, Phillip D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 21st, 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 1366531055 NPPES
Other 4224870 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 772483 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 4224870 OTHER ID NUMBER-COMMERCIAL NUMBER

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