Grove Park Pharmacy

LBN: Orange Cut Rate Drug Store, Inc.
Grove Park Pharmacy is an health care organization with primary practice located at 1324 Grove Park Dr , Orangeburg SC 29115-2455. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Orange Cut Rate Drug Store, Inc. can be contacted via phone (803) 536-0007, or through Thompson, Charles Paige via phone (803) 536-0007.

Contact Information

Primary practice address
1324 Grove Park Dr Orangeburg SC 29115-2455
Fax:
Website:
Authorized official contact:
Name: Thompson, Charles Paige

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 50-001928 South Carolina

Profile Details

NPI number 1558366930
LBN Legal business name Orange Cut Rate Drug Store, Inc.
DBA Doing business as Grove Park Pharmacy
Authorized official Thompson, Charles Paige
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Aug 30th, 2016 - about 9 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 1558366930 NPPES
South Carolina MEDICAID 719284

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