Sunset Pharmacy Inc
LBN: Sunset Pharmacy Inc
Sunset Pharmacy Inc is an health care organization with primary practice located at 101 Professional Ave , West Columbia SC 29169-4711. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sunset Pharmacy Inc can be contacted via phone (803) 794-6440, or through Ellisor, Walter Gerald via phone (803) 794-6440.
Contact Information
Primary practice address
101 Professional Ave
West Columbia SC 29169-4711
Phone: (803) 794-6440
Fax: (803) 739-1420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 50001351 | South Carolina |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 50001351 | South Carolina |
Profile Details
| NPI number | 1902855984 |
|---|---|
| LBN Legal business name | Sunset Pharmacy Inc |
| DBA Doing business as | |
| Authorized official | Ellisor, Walter Gerald RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jun 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902855984 | NPPES |
| South Carolina | Other | 4201226 | NABP |
| South Carolina | MEDICAID | 713518 | NABP |
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