Specialty Pharmacy Myrtle Beach

LBN: Specialty Pharmacy Myrtle Beach Llc
Specialty Pharmacy Myrtle Beach is an health care organization with primary practice located at 5900 N Kings Hwy Ste C , Myrtle Beach SC 29577-2326. 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. Specialty Pharmacy Myrtle Beach Llc can be contacted via phone (843) 712-1703, or through Wease, Billy via phone (704) 913-7450.

Contact Information

Primary practice address
5900 N Kings Hwy Ste C Myrtle Beach SC 29577-2326
Fax: (843) 712-1705
Website:
Authorized official contact:
Name: Wease, Billy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 11125 South Carolina
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1033423348
LBN Legal business name Specialty Pharmacy Myrtle Beach Llc
DBA Doing business as Specialty Pharmacy Myrtle Beach
Authorized official Wease, Billy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Oct 1st, 2010 - about 14 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 1033423348 NPPES
Other 4229781 NCPDP PROVIDER IDENTIFICATION NUMBER

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