Kelly'S Family Pharmacy

LBN: Kellys Family Pharmacy
Kelly'S Family Pharmacy is an health care organization with primary practice located at 704 Brushy Creek Rd , Easley SC 29642-2200. 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. Kellys Family Pharmacy can be contacted via phone (864) 343-0540, or through Hunt, Ralph via phone (864) 270-1469.

Contact Information

Primary practice address
704 Brushy Creek Rd Easley SC 29642-2200
Fax: (864) 343-0543
Website:
Authorized official contact:
Name: Hunt, Ralph

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10227 South Carolina

Profile Details

NPI number 1811149966
LBN Legal business name Kellys Family Pharmacy
DBA Doing business as Kelly'S Family Pharmacy
Authorized official Hunt, Ralph
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Apr 5th, 2017 - about 7 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 1811149966 NPPES
Other 2117875 PK
MEDICAID 710227 PK

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