Airport Pharmacy

LBN: Mica Pharmacy Llc
Airport Pharmacy is an health care organization with primary practice located at 3907 Edmund Hwy , West Columbia SC 29170-1944. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mica Pharmacy Llc can be contacted via phone (803) 755-9600, or through Blizzard, Joseph via phone (803) 755-9600.

Contact Information

Primary practice address
3907 Edmund Hwy West Columbia SC 29170-1944
Phone: (803) 755-9600
Fax: (803) 755-3271
Website:
Map and Directions
Authorized official contact:
Name: Blizzard, Joseph
Phone: (803) 755-9600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 15216 South Carolina

Profile Details

NPI number 1215983952
LBN Legal business name Mica Pharmacy Llc
DBA Doing business as Airport Pharmacy
Authorized official Blizzard, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jun 7th, 2016 - about 8 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 1215983952 NPPES
South Carolina MEDICAID 790937
South Carolina Other 2146051

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