Raven Pharmacy

LBN: Raven Holdings, Llc
Raven Pharmacy is an health care organization with primary practice located at 1501 Belle Isle Ave Ste 140 , Mount Pleasant SC 29464-8379. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Raven Holdings, Llc can be contacted via phone (843) 640-0621, or through Nesbitt, Curt via phone (843) 640-0621.

Contact Information

Primary practice address
1501 Belle Isle Ave Ste 140 Mount Pleasant SC 29464-8379
Fax: (843) 640-0623
Website:
Authorized official contact:
Name: Nesbitt, Curt

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 16418 South Carolina

Profile Details

NPI number 1518321926
LBN Legal business name Raven Holdings, Llc
DBA Doing business as Raven Pharmacy
Authorized official Nesbitt, Curt
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2016
Last updated Jul 7th, 2023 - about 2 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 1518321926 NPPES
South Carolina MEDICAID 716418

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