C.M.Tucker,Jr Nursing Care Center Pharmacy

LBN: South Carolina Department Of Mental Health
C.M.Tucker,Jr Nursing Care Center Pharmacy is an health care organization with primary practice located at 2200 Harden St. , Columbia SC 29203-7107. The organization recently has 6 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Hospice, Inpatient, Suppliers / Nursing Facility Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. South Carolina Department Of Mental Health can be contacted via phone (803) 737-5339, or through Rudd, Kimberly Butterfly via phone (803) 737-5301.

Contact Information

Primary practice address
2200 Harden St. Columbia SC 29203-7107
Phone: (803) 737-5339
Fax: (803) 737-5436
Website:
Map and Directions
Authorized official contact:
Name: Rudd, Kimberly Butterfly Doctor of Medicine (MD)
Phone: (803) 737-5301

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 50001783 South Carolina
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 50-001783 South Carolina
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X 50001783 South Carolina
Suppliers / Nursing Facility Supplies 332BN1400X 50001783 South Carolina
Suppliers / Pharmacy 333600000X 50001783 South Carolina
Suppliers / Long Term Care Pharmacy 3336L0003X 50001783 South Carolina

Profile Details

NPI number 1043365703
LBN Legal business name South Carolina Department Of Mental Health
DBA Doing business as C.M.Tucker,Jr Nursing Care Center Pharmacy
Authorized official Rudd, Kimberly Butterfly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 24th, 2007
Last updated Oct 18th, 2011 - about 13 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 1043365703 NPPES
South Carolina Other 4212875 NCPDP

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