Sovereign Medical Consulting Llc

LBN: Sovereign Medical Consulting Llc
Sovereign Medical Consulting Llc is an health care organization with primary practice located at 15 Villa Rd, Apt #182 , Greenville SC 29615. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is the primary health care specialty. Sovereign Medical Consulting Llc can be contacted via phone (864) 451-4250, or through Grace, Edward Edmond via phone (864) 451-4250.

Contact Information

Primary practice address
15 Villa Rd, Apt #182 Greenville SC 29615
Phone: (864) 451-4250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grace, Edward Edmond PHARM.D.
Phone: (864) 451-4250

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 308009535 District of Columbia
Managed Care Organizations / Point of Service 305S00000X 101491182 South Carolina

Profile Details

NPI number 1831696251
LBN Legal business name Sovereign Medical Consulting Llc
DBA Doing business as
Authorized official Grace, Edward Edmond PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2018
Last updated Apr 11th, 2018 - about 7 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 1831696251 NPPES
South Carolina Other 101491182 SC DEPARTMENT OF REVENUE

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