Cypress Center Ltc Pharmacy
LBN: Mcleod Health Clarendon Ltc Pharmacy
Cypress Center Ltc Pharmacy is an health care organization with primary practice located at 50 E Hospital St Ste 1B, Manning SC 29102-3149. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Mcleod Health Clarendon Ltc Pharmacy can be contacted via phone (803) 435-5272, or through Ervin, Samuel Fulton via phone (843) 777-2910.
Contact Information
Primary practice address
50 E Hospital St Ste 1B
Manning SC 29102-3149
Phone: (803) 435-5272
Fax: (803) 435-5271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 16726 | South Carolina |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1659360873 |
|---|---|
| LBN Legal business name | Mcleod Health Clarendon Ltc Pharmacy |
| DBA Doing business as | Cypress Center Ltc Pharmacy |
| Authorized official | Ervin, Samuel Fulton |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 25th, 2019 - 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 | 1659360873 | NPPES |
| South Carolina | MEDICAID | 722205 | |
| South Carolina | Other | 2163851 |
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