Loris Drug Store, Inc.

LBN: Loris Drug Store, Inc.
Loris Drug Store, Inc. is an health care organization with primary practice located at 4125 Main St , Loris SC 29569-3023. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Loris Drug Store, Inc. can be contacted via phone (843) 756-4021, or through Bailey, Douglas Singleton via phone (843) 756-4021.

Contact Information

Primary practice address
4125 Main St Loris SC 29569-3023
Phone: (843) 756-4021
Fax: (843) 756-9124
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Douglas Singleton
Phone: (843) 756-4021

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 50001951 South Carolina

Profile Details

NPI number 1700881943
LBN Legal business name Loris Drug Store, Inc.
DBA Doing business as
Authorized official Bailey, Douglas Singleton
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated Feb 13th, 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 1700881943 NPPES
South Carolina MEDICAID 615383
South Carolina MEDICAID 0425371
South Carolina Other 4214160
South Carolina MEDICAID 719515

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