Medicine Mart

LBN: M L Porter Corp
Medicine Mart is an health care organization with primary practice located at 1337 S Irby St Ste A , Florence SC 29505-2784. 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. M L Porter Corp can be contacted via phone (843) 667-0759, or through Porter, Michael Lewis via phone (843) 667-0759.

Contact Information

Primary practice address
1337 S Irby St Ste A Florence SC 29505-2784
Phone: (843) 667-0759
Fax: (843) 667-0506
Website:
Map and Directions
Authorized official contact:
Name: Porter, Michael Lewis RPH
Phone: (843) 667-0759

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 50007436 South Carolina

Profile Details

NPI number 1861545113
LBN Legal business name M L Porter Corp
DBA Doing business as Medicine Mart
Authorized official Porter, Michael Lewis RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 25th, 2008 - about 16 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 1861545113 NPPES
Other 4213586 OTHER ID NUMBER
MEDICAID 774367 OTHER ID NUMBER

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