Piggly Wiggly Pharmacy #48

LBN: Piggly Wiggly Lake City, Inc.
Piggly Wiggly Pharmacy #48 is an health care organization with primary practice located at 269 N Ron Mcnair Blvd , Lake City SC 29560-2437. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Piggly Wiggly Lake City, Inc. can be contacted via phone (843) 394-3121, or through Schools, David R. via phone (843) 554-9880.

Contact Information

Primary practice address
269 N Ron Mcnair Blvd Lake City SC 29560-2437
Phone: (843) 394-3121
Fax: (843) 394-2551
Website:
Map and Directions
Authorized official contact:
Name: Schools, David R.
Phone: (843) 554-9880

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5001776 South Carolina

Profile Details

NPI number 1588853519
LBN Legal business name Piggly Wiggly Lake City, Inc.
DBA Doing business as Piggly Wiggly Pharmacy #48
Authorized official Schools, David R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2007
Last updated Aug 1st, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588853519 NPPES
South Carolina MEDICAID 717766

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