Sup Rx Pharmacy

LBN: Piggly Wiggly #35
Sup Rx Pharmacy is an health care organization with primary practice located at 842 S 5Th St , Hartsville SC 29550-5697. 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. Piggly Wiggly #35 can be contacted via phone (843) 332-0762, or through Mcleod, W R via phone (803) 775-1334.

Contact Information

Primary practice address
842 S 5Th St Hartsville SC 29550-5697
Phone: (843) 332-0762
Fax: (843) 383-9576
Website:
Map and Directions
Authorized official contact:
Name: Mcleod, W R RPH
Phone: (803) 775-1334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 50008929 South Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760589600
LBN Legal business name Piggly Wiggly #35
DBA Doing business as Sup Rx Pharmacy
Authorized official Mcleod, W R RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760589600 NPPES
Other 4213106 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 718178 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers