Pelham Road Pharmacy Inc

LBN: Pelham Road Pharmacy Inc
Pelham Road Pharmacy Inc is an health care organization with primary practice located at 800B Pelham Rd , Greenville SC 29615-3300. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pelham Road Pharmacy Inc can be contacted via phone (864) 234-5890, or through Patel, Samir via phone (864) 234-5890.

Contact Information

Primary practice address
800B Pelham Rd Greenville SC 29615-3300
Phone: (864) 234-5890
Fax: (864) 234-5891
Website:
Map and Directions
Authorized official contact:
Name: Patel, Samir RPH
Phone: (864) 234-5890

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2040 South Carolina

Profile Details

NPI number 1235140807
LBN Legal business name Pelham Road Pharmacy Inc
DBA Doing business as Pelham Road Pharmacy Inc
Authorized official Patel, Samir RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated May 26th, 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 1235140807 NPPES
South Carolina MEDICAID 720401
South Carolina Other 2089695

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