Professional Pharmacy At Mt View In

LBN: Professional Pharmacy At Mt View In
Professional Pharmacy At Mt View In is an health care organization with primary practice located at 428 Memorial Drive Extension , Greer SC 29651-1818. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Professional Pharmacy At Mt View In can be contacted via phone (864) 877-4281, or through King, Paula Jagina via phone (864) 877-4281.

Contact Information

Primary practice address
428 Memorial Drive Extension Greer SC 29651-1818
Phone: (864) 877-4281
Fax: (864) 877-4077
Website:
Map and Directions
Authorized official contact:
Name: King, Paula Jagina RPH
Phone: (864) 877-4281

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 50001504 South Carolina

Profile Details

NPI number 1306829668
LBN Legal business name Professional Pharmacy At Mt View In
DBA Doing business as
Authorized official King, Paula Jagina RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated May 25th, 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 1306829668 NPPES
South Carolina MEDICAID 715040
South Carolina Other 4210592

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