Pine Ridge Pharmacy
LBN: Pine Ridge Investors
Pine Ridge Pharmacy is an health care organization with primary practice located at 634 A Pine Ridge Dr , West Columbia SC 29172. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pine Ridge Investors can be contacted via phone (803) 955-3404, or through Mchugh, Kyle via phone (803) 939-8489.
Contact Information
Primary practice address
634 A Pine Ridge Dr
West Columbia SC 29172
Phone: (803) 955-3404
Fax: (803) 955-3406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 50010273 | South Carolina |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1750527834 |
|---|---|
| LBN Legal business name | Pine Ridge Investors |
| DBA Doing business as | Pine Ridge Pharmacy |
| Authorized official | Mchugh, Kyle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2008 |
| Last updated | Jan 22nd, 2024 - about 11 months 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 | 1750527834 | NPPES |
| Other | 4228385 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 1750527834 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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