Gray Court Pharmacy

LBN: Zivitski Health Group Llc
Gray Court Pharmacy is an health care organization with primary practice located at 345 W Main Street , Gray Court SC 29645. 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. Zivitski Health Group Llc can be contacted via phone (864) 876-3837, or through Zivitski, Ronald via phone (864) 876-3837.

Contact Information

Primary practice address
345 W Main Street Gray Court SC 29645
Phone: (864) 876-3837
Fax: (864) 876-1137
Website:
Map and Directions
Authorized official contact:
Name: Zivitski, Ronald
Phone: (864) 876-3837

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 17663 South Carolina

Profile Details

NPI number 1740788066
LBN Legal business name Zivitski Health Group Llc
DBA Doing business as Gray Court Pharmacy
Authorized official Zivitski, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2018
Last updated May 17th, 2018 - about 8 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 1740788066 NPPES
Other 2177354 PK
MEDICAID 711725 PK

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