Professional Phcy Of Marion Inc

LBN: Professional Pharmacy Of Marion Inc
Professional Phcy Of Marion Inc is an health care organization with primary practice located at 223 N Main St , Marion SC 29571-3025. 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. Professional Pharmacy Of Marion Inc can be contacted via phone (843) 423-1882, or through Fuller, Thomas via phone (843) 423-1882.

Contact Information

Primary practice address
223 N Main St Marion SC 29571-3025
Fax: (843) 423-5006
Website:
Authorized official contact:
Name: Fuller, Thomas BS PHARMACT

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2363 South Carolina

Profile Details

NPI number 1912095068
LBN Legal business name Professional Pharmacy Of Marion Inc
DBA Doing business as Professional Phcy Of Marion Inc
Authorized official Fuller, Thomas BS PHARMACT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 22nd, 2011 - about 13 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 1912095068 NPPES
Other 4216443 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 723632 NCPDP PROVIDER IDENTIFICATION NUMBER

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