Prescription Shoppe Of Georgetown
LBN: Kelley R Johnson, Llc
Prescription Shoppe Of Georgetown is an health care organization with primary practice located at 1743 N Fraser St , Georgetown SC 29440-6407. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kelley R Johnson, Llc can be contacted via phone (843) 546-2222, or through Johnson, Kelley Ray via phone (843) 546-2222.
Contact Information
Primary practice address
1743 N Fraser St
Georgetown SC 29440-6407
Phone: (843) 546-2222
Fax: (843) 527-8300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2164 | South Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1215041298 |
|---|---|
| LBN Legal business name | Kelley R Johnson, Llc |
| DBA Doing business as | Prescription Shoppe Of Georgetown |
| Authorized official | Johnson, Kelley Ray RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jan 18th, 2022 - about 2 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 | 1215041298 | NPPES |
| South Carolina | MEDICAID | 712092 | |
| South Carolina | Other | 2088930 |
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