Mauldin Family Pharmacy
LBN: Mauldin Family Pharmacy Inc
Mauldin Family Pharmacy is an health care organization with primary practice located at 505 N Main St Ste A, Mauldin SC 29662-2345. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mauldin Family Pharmacy Inc can be contacted via phone (864) 288-2600, or through Tidmarsh, Charles via phone (864) 288-2600.
Contact Information
Primary practice address
505 N Main St Ste A
Mauldin SC 29662-2345
Phone: (864) 288-2600
Fax: (864) 288-5608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1874 | South Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1750489688 |
|---|---|
| LBN Legal business name | Mauldin Family Pharmacy Inc |
| DBA Doing business as | Mauldin Family Pharmacy |
| Authorized official | Tidmarsh, Charles RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 19th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750489688 | NPPES |
| Other | 2089291 | PK | |
| MEDICAID | 718748 | PK |
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