Brunson'S Pharmacy

LBN: Brunson'S Pharmacy, Llc
Brunson'S Pharmacy is an health care organization with primary practice located at 12 N Brooks St Suite 206, Manning SC 29102-3206. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Brunson'S Pharmacy, Llc can be contacted via phone (803) 435-2511, or through Mathis, James V via phone (803) 435-2511.

Contact Information

Primary practice address
12 N Brooks St Suite 206 Manning SC 29102-3206
Phone: (803) 435-2511
Fax: (803) 435-4235
Website:
Map and Directions
Authorized official contact:
Name: Mathis, James V PHARMD
Phone: (803) 435-2511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 14411 South Carolina

Profile Details

NPI number 1508109497
LBN Legal business name Brunson'S Pharmacy, Llc
DBA Doing business as Brunson'S Pharmacy
Authorized official Mathis, James V PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2013
Last updated Jan 26th, 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 1508109497 NPPES
Other 4231217 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 714411 NCPDP PROVIDER IDENTIFICATION NUMBER

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