Sup Rx Pharmacy

LBN: Piggly Wiggly South Inc
Sup Rx Pharmacy is an health care organization with primary practice located at 1455 S Guignard Dr , Sumter SC 29150-7479. 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. Piggly Wiggly South Inc can be contacted via phone (803) 778-5758, or through Mcleod, William via phone (803) 773-6378.

Contact Information

Primary practice address
1455 S Guignard Dr Sumter SC 29150-7479
Phone: (803) 778-5758
Fax: (803) 778-5763
Website:
Map and Directions
Authorized official contact:
Name: Mcleod, William
Phone: (803) 773-6378

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5038 South Carolina

Profile Details

NPI number 1972690857
LBN Legal business name Piggly Wiggly South Inc
DBA Doing business as Sup Rx Pharmacy
Authorized official Mcleod, William
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 16th, 2021 - about 4 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 1972690857 NPPES
South Carolina MEDICAID 729866
South Carolina Other 2091737
South Carolina MEDICAID 750384

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