Kj Pharmacy #129
LBN: Kj 'S Pharmacy,Inc
Kj Pharmacy #129 is an health care organization with primary practice located at 240 Kelley St , Lake City SC 29560-2416. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kj 'S Pharmacy,Inc can be contacted via phone (843) 374-1110, or through Player, Spencer via phone (843) 374-1110.
Contact Information
Primary practice address
240 Kelley St
Lake City SC 29560-2416
Phone: (843) 374-1110
Fax: (843) 374-1117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 15075 | South Carolina |
Profile Details
| NPI number | 1720404122 |
|---|---|
| LBN Legal business name | Kj 'S Pharmacy,Inc |
| DBA Doing business as | Kj Pharmacy #129 |
| Authorized official | Player, Spencer RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 10th, 2014 |
| Last updated | Apr 19th, 2018 - about 6 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 | 1720404122 | NPPES |
| South Carolina | MEDICAID | 715075 | |
| South Carolina | Other | 2144526 |
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