Sup-Rx Pharmacy #53

LBN: Sup-Rx Pharmacy #53
Sup-Rx Pharmacy #53 is an health care organization with primary practice located at 401 Pearl St , Darlington SC 29532-3814. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Sup-Rx Pharmacy #53 can be contacted via phone (843) 393-2552, or through Mcleod, Ricky via phone (803) 775-1334.

Contact Information

Primary practice address
401 Pearl St Darlington SC 29532-3814
Phone: (843) 393-2552
Fax: (843) 393-9811
Website:
Map and Directions
Authorized official contact:
Name: Mcleod, Ricky
Phone: (803) 775-1334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 50-000803 South Carolina

Profile Details

NPI number 1417951252
LBN Legal business name Sup-Rx Pharmacy #53
DBA Doing business as
Authorized official Mcleod, Ricky
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 7th, 2023 - about 3 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 1417951252 NPPES
Other 4203751 NCDP NUMBER
MEDICAID 708033 NCDP NUMBER
Other 4203751 NCDP NUMBER

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