Coastal Respiratory And Brace Store
LBN: Professional Pharmacy Services, Inc
Coastal Respiratory And Brace Store is an health care organization with primary practice located at 773 Main St , North Myrtle Beach SC 29582-3029. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty.
Professional Pharmacy Services, Inc can be contacted via phone (843) 665-4051, or through Sturgeon, Jonathan Kyle via phone (843) 665-4051.
Contact Information
Primary practice address
773 Main St
North Myrtle Beach SC 29582-3029
Phone: (843) 665-4051
Fax: (843) 799-2493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 50-006977 | South Carolina |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
| NPI number | 1598758955 |
|---|---|
| LBN Legal business name | Professional Pharmacy Services, Inc |
| DBA Doing business as | Coastal Respiratory And Brace Store |
| Authorized official | Sturgeon, Jonathan Kyle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jun 15th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598758955 | NPPES |
| South Carolina | MEDICAID | 769771 | |
| South Carolina | MEDICAID | DME-197 |
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