Indian Land Pharmacy

LBN: Maaa Llc
Indian Land Pharmacy is an health care organization with primary practice located at 8437 Charlotte Hwy , Indian Land SC 29707-7587. 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. Maaa Llc can be contacted via phone (803) 228-0268, or through Patel, Ronak via phone (856) 472-2773.

Contact Information

Primary practice address
8437 Charlotte Hwy Indian Land SC 29707-7587
Phone: (803) 228-0268
Fax: (803) 228-3580
Website:
Map and Directions
Authorized official contact:
Name: Patel, Ronak
Phone: (856) 472-2773

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 17465 South Carolina

Profile Details

NPI number 1588181226
LBN Legal business name Maaa Llc
DBA Doing business as Indian Land Pharmacy
Authorized official Patel, Ronak
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2017
Last updated Jul 19th, 2018 - about 8 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 1588181226 NPPES
South Carolina MEDICAID 717465
South Carolina Other 2171934

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