Ocean Lakes Pharmacy Inc
LBN: Ocean Lakes Pharmacy Inc
Ocean Lakes Pharmacy Inc is an health care organization with primary practice located at 1415 Hwy 17 Business N , Surfside Beach SC 29575. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ocean Lakes Pharmacy Inc can be contacted via phone (843) 238-5159, or through Williams, Roger via phone (848) 238-5159.
Contact Information
Primary practice address
1415 Hwy 17 Business N
Surfside Beach SC 29575
Phone: (843) 238-5159
Fax: (843) 238-8270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 50004721 | South Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1316020589 |
|---|---|
| LBN Legal business name | Ocean Lakes Pharmacy Inc |
| DBA Doing business as | Ocean Lakes Pharmacy Inc |
| Authorized official | Williams, Roger |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Feb 28th, 2017 - 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 | 1316020589 | NPPES |
| South Carolina | MEDICAID | 747216 | |
| South Carolina | MEDICAID | EN2106 | |
| South Carolina | Other | 2088907 | |
| South Carolina | MEDICAID | 611804 |
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