Polaris Jack, Inc.

LBN: Polaris Jack, Inc.
Polaris Jack, Inc. is an health care organization with primary practice located at 3072 Dick Pond Rd Unit 2 , Myrtle Beach SC 29588-6954. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Polaris Jack, Inc. can be contacted via phone (843) 293-7979, or through Westley, Forrest via phone (843) 293-7979.

Contact Information

Primary practice address
3072 Dick Pond Rd Unit 2 Myrtle Beach SC 29588-6954
Phone: (843) 293-7979
Fax: (843) 293-6499
Website:
Map and Directions
Authorized official contact:
Name: Westley, Forrest PHARMD
Phone: (843) 293-7979

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1740890433
LBN Legal business name Polaris Jack, Inc.
DBA Doing business as
Authorized official Westley, Forrest PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - about 4 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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