Medical Plaza Pharmacy

LBN: Charleston Clinical & Health Services, Inc.
Medical Plaza Pharmacy is an health care organization with primary practice located at 9301 Medical Plaza Dr , North Charleston SC 29406-9103. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Charleston Clinical & Health Services, Inc. can be contacted via phone (843) 553-7121, or through Brueggeman, J. L. via phone (843) 553-7121.

Contact Information

Primary practice address
9301 Medical Plaza Dr North Charleston SC 29406-9103
Fax: (843) 553-5800
Website:
Authorized official contact:
Name: Brueggeman, J. L. PHARM. D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1807 South Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X 001807 South Carolina

Profile Details

NPI number 1841373123
LBN Legal business name Charleston Clinical & Health Services, Inc.
DBA Doing business as Medical Plaza Pharmacy
Authorized official Brueggeman, J. L. PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2007 - about 17 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 1841373123 NPPES
South Carolina Other 42-09892 NCPDP
South Carolina MEDICAID 718076 NCPDP

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