Redec Pharmacy

LBN: Redec Pharmacy
Redec Pharmacy is an health care organization with primary practice located at 200 N Dobys Bridge Rd Ste 124 , Fort Mill SC 29715-2084. 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. Redec Pharmacy can be contacted via phone (803) 802-3915, or through Bartels, Hewis via phone (478) 919-8881.

Contact Information

Primary practice address
200 N Dobys Bridge Rd Ste 124 Fort Mill SC 29715-2084
Phone: (803) 802-3915
Fax: (803) 802-3915
Website:
Map and Directions
Authorized official contact:
Name: Bartels, Hewis
Phone: (478) 919-8881

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 17732 South Carolina

Profile Details

NPI number 1619485992
LBN Legal business name Redec Pharmacy
DBA Doing business as Redec Pharmacy
Authorized official Bartels, Hewis
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2018
Last updated Jan 4th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619485992 NPPES
South Carolina MEDICAID 717732
South Carolina Other 2175595

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