Suprx #32

LBN: Piggly Wiggly Of Manning Inc.
Suprx #32 is an health care organization with primary practice located at 36 Sunset Dr , Manning SC 29102-2927. 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. Piggly Wiggly Of Manning Inc. can be contacted via phone (803) 433-2412, or through Mcleod, William R via phone (803) 773-6378.

Contact Information

Primary practice address
36 Sunset Dr Manning SC 29102-2927
Fax: (803) 433-8202
Website:
Authorized official contact:
Name: Mcleod, William R

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 50000946 South Carolina

Profile Details

NPI number 1548275142
LBN Legal business name Piggly Wiggly Of Manning Inc.
DBA Doing business as Suprx #32
Authorized official Mcleod, William R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Mar 17th, 2022 - about 3 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 1548275142 NPPES
Other 2089725 PK
MEDICAID 709460 PK

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