Avita Pharmacy 1051

LBN: Longs Drugs Of Lexington Sc Inc
Avita Pharmacy 1051 is an health care organization with primary practice located at 1216 W Main St , Lexington SC 29072-2453. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Longs Drugs Of Lexington Sc Inc can be contacted via phone (803) 358-3030, or through Ellis, Ashley via phone (803) 254-5884.

Contact Information

Primary practice address
1216 W Main St Lexington SC 29072-2453
Fax: (803) 358-3034
Website:
Authorized official contact:
Name: Ellis, Ashley

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X NRX0000789 District of Columbia
Suppliers / Community/Retail Pharmacy 3336C0003X 320011982 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X PHNR000221 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X SC1980 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X 1240 Hawaii
Suppliers / Community/Retail Pharmacy 3336C0003X PH29285 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X 41111MS Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X 64002113A Indiana
Suppliers / Community/Retail Pharmacy 3336C0003X 4658 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X PCN.0003017 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X OSP.0006745 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X 108052 Alaska
Suppliers / Community/Retail Pharmacy 3336C0003X 11597 Delaware
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.007436-NR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X Y006749 Arizona

Profile Details

NPI number 1174779219
LBN Legal business name Longs Drugs Of Lexington Sc Inc
DBA Doing business as Avita Pharmacy 1051
Authorized official Ellis, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2008
Last updated May 12th, 2021 - about 3 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 1174779219 NPPES
Other 2116693 PK
MEDICAID 1174779219 PK

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