Boland Pharmacy

LBN: Randy B Boland
Boland Pharmacy is an health care organization with primary practice located at 715 S Harry C Raysor Dr , St Matthews SC 29135. 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. Randy B Boland can be contacted via phone (803) 655-7753, or through Boland, Carolyn via phone (803) 829-2547.

Contact Information

Primary practice address
715 S Harry C Raysor Dr St Matthews SC 29135
Phone: (803) 655-7753
Fax: (803) 655-7754
Website:
Map and Directions
Authorized official contact:
Name: Boland, Carolyn RPH
Phone: (803) 829-2547

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3440 South Carolina

Profile Details

NPI number 1972672210
LBN Legal business name Randy B Boland
DBA Doing business as Boland Pharmacy
Authorized official Boland, Carolyn RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 7th, 2017 - about 8 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 1972672210 NPPES
Other 2090808 PK
MEDICAID 734407 PK

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