Medicine Mart
LBN: Medicine Mart Of Orangeburg Inc
Medicine Mart is an health care organization with primary practice located at 1291 Broughton St , Orangeburg SC 29115-5967. 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.
Medicine Mart Of Orangeburg Inc can be contacted via phone (803) 531-3141, or through Wooten, Pat via phone (803) 531-3141.
Contact Information
Primary practice address
1291 Broughton St
Orangeburg SC 29115-5967
Phone: (803) 531-3141
Fax: (803) 531-3143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 50009035 | South Carolina |
Profile Details
| NPI number | 1669566972 |
|---|---|
| LBN Legal business name | Medicine Mart Of Orangeburg Inc |
| DBA Doing business as | Medicine Mart |
| Authorized official | Wooten, Pat RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Dec 28th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669566972 | NPPES |
| Other | 4216075 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 723222 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 790356 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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