Shaw Main Pharmacy

LBN: 20Th Medical Group Sgsl
Shaw Main Pharmacy is an health care organization with primary practice located at 431 Meadowlark St , Shaw Afb SC 29152-5019. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. 20Th Medical Group Sgsl can be contacted via phone (803) 895-6464, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
431 Meadowlark St Shaw Afb SC 29152-5019
Fax: (803) 895-6463
Website:
Authorized official contact:
Name: Morales, Hector

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1851490031
LBN Legal business name 20Th Medical Group Sgsl
DBA Doing business as Shaw Main Pharmacy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jan 19th, 2016 - 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 1851490031 NPPES
Other 2091775 PK

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