Delta Of Moncks Corner
LBN: Delta Pharmacy Inc
Delta Of Moncks Corner is an health care organization with primary practice located at 402 E Main St , Moncks Corner SC 29461-3616. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Delta Pharmacy Inc can be contacted via phone (843) 761-5255, or through Welch, Andria via phone (843) 761-5255.
Contact Information
Primary practice address
402 E Main St
Moncks Corner SC 29461-3616
Phone: (843) 761-5255
Fax: (843) 899-4970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1991 | South Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1275596249 |
|---|---|
| LBN Legal business name | Delta Pharmacy Inc |
| DBA Doing business as | Delta Of Moncks Corner |
| Authorized official | Welch, Andria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Nov 25th, 2015 - about 10 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 | 1275596249 | NPPES |
| Other | 2088043 | PK | |
| MEDICAID | 719914 | PK |
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