<Unavail>

LBN: Med Mart Weco Llc
<Unavail> is an health care organization with primary practice located at 1300 Sunset Blvd , West Columbia SC 29169-5914. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Med Mart Weco Llc can be contacted via phone (803) 791-7043, or through Gleaton, Michael Adam via phone (803) 957-5969.

Contact Information

Primary practice address
1300 Sunset Blvd West Columbia SC 29169-5914
Phone: (803) 791-7043
Fax: (803) 796-1519
Website:
Map and Directions
Authorized official contact:
Name: Gleaton, Michael Adam
Phone: (803) 957-5969

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1598858987
LBN Legal business name Med Mart Weco Llc
DBA Doing business as <Unavail>
Authorized official Gleaton, Michael Adam
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Dec 6th, 2024 - about 2 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 1598858987 NPPES
South Carolina MEDICAID 717584

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