Custom-Med Compounding Pharmacy

LBN: Medical Center Inc. Of Pickens
Custom-Med Compounding Pharmacy is an health care organization with primary practice located at 838 Powdersville Rd Suite D, Easley SC 29642-3703. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medical Center Inc. Of Pickens can be contacted via phone (864) 855-2323, or through Holland, John E. via phone (864) 855-2323.

Contact Information

Primary practice address
838 Powdersville Rd Suite D Easley SC 29642-3703
Phone: (864) 855-2323
Fax: (864) 855-2606
Website:
Map and Directions
Authorized official contact:
Name: Holland, John E. PHARM D
Phone: (864) 855-2323

Health care specialties

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

Profile Details

NPI number 1134170764
LBN Legal business name Medical Center Inc. Of Pickens
DBA Doing business as Custom-Med Compounding Pharmacy
Authorized official Holland, John E. PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1134170764 NPPES
South Carolina MEDICAID 608612
South Carolina MEDICAID 708614

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