Musc James Island Family Medicine Pharmacy

LBN: Medical University Hospital Authority
Musc James Island Family Medicine Pharmacy is an health care organization with primary practice located at 650 Ellis Oak Dr Rm 119 , Charleston SC 29412-3089. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Medical University Hospital Authority can be contacted via phone (843) 876-2969, or through Crawford, Thomas via phone (843) 792-8775.

Contact Information

Primary practice address
650 Ellis Oak Dr Rm 119 Charleston SC 29412-3089
Fax: (843) 876-2967
Website:
Authorized official contact:
Name: Crawford, Thomas

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 863 South Carolina
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295840148
LBN Legal business name Medical University Hospital Authority
DBA Doing business as Musc James Island Family Medicine Pharmacy
Authorized official Crawford, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 24th, 2022 - about 2 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 1295840148 NPPES
South Carolina MEDICAID 708630
South Carolina Other 2090196

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