Tracys Pharmacy

LBN: Tracys Pharmacy
Tracys Pharmacy is an health care organization with primary practice located at 637 Padgett Loop , Walterboro SC 29488-4149. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tracys Pharmacy can be contacted via phone (843) 549-7716, or through Tracy, Ralph via phone (843) 549-7716.

Contact Information

Primary practice address
637 Padgett Loop Walterboro SC 29488-4149
Phone: (843) 549-7716
Fax: (843) 549-6063
Website:
Map and Directions
Authorized official contact:
Name: Tracy, Ralph
Phone: (843) 549-7716

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2571 South Carolina

Profile Details

NPI number 1235273475
LBN Legal business name Tracys Pharmacy
DBA Doing business as
Authorized official Tracy, Ralph
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Sep 13th, 2007 - about 18 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 1235273475 NPPES
South Carolina MEDICAID 700915
South Carolina Other 4206997

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