Berkeley Home Pharmacy
LBN: Berkeley Home Pharmacy Llc
Berkeley Home Pharmacy is an health care organization with primary practice located at 1008 Old Highway 52 Ste G , Moncks Corner SC 29461-3011. 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.
Berkeley Home Pharmacy Llc can be contacted via phone (843) 899-4700, or through Nussbaum, Ted Tristan via phone (843) 899-4700.
Contact Information
Primary practice address
1008 Old Highway 52 Ste G
Moncks Corner SC 29461-3011
Phone: (843) 899-4700
Fax: (843) 899-4702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 16354 | South Carolina |
Profile Details
| NPI number | 1508223645 |
|---|---|
| LBN Legal business name | Berkeley Home Pharmacy Llc |
| DBA Doing business as | Berkeley Home Pharmacy |
| Authorized official | Nussbaum, Ted Tristan RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 20th, 2016 |
| Last updated | Mar 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508223645 | NPPES |
| Other | 2157670 | PK | |
| MEDICAID | 716354 | PK |
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