Easley Healthmart Pharmacy
LBN: Shelby Pharmacy Llc
Easley Healthmart Pharmacy is an health care organization with primary practice located at 401 Hillcrest Dr , Easley SC 29640-1221. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shelby Pharmacy Llc can be contacted via phone (864) 642-4879, or through Shelby, Jerry via phone (256) 503-5535.
Contact Information
Primary practice address
401 Hillcrest Dr
Easley SC 29640-1221
Phone: (864) 642-4879
Fax: (864) 712-9279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 16737 | South Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1528512357 |
|---|---|
| LBN Legal business name | Shelby Pharmacy Llc |
| DBA Doing business as | Easley Healthmart Pharmacy |
| Authorized official | Shelby, Jerry RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2016 |
| Last updated | Sep 12th, 2016 - about 9 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 | 1528512357 | NPPES |
| Other | 2162483 | PK | |
| MEDICAID | 716737 | PK |
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