Vincents Drug Store

LBN: Vincents Drug Store And Soda Fountain
Vincents Drug Store is an health care organization with primary practice located at 110 Planted Row Lane , Johns Island SC 29455. 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. Vincents Drug Store And Soda Fountain can be contacted via phone (843) 243-0007, or through Cain, Susan via phone (888) 479-2000.

Contact Information

Primary practice address
110 Planted Row Lane Johns Island SC 29455
Phone: (843) 243-0007
Fax: (843) 243-0039
Website:
Map and Directions
Authorized official contact:
Name: Cain, Susan BS
Phone: (888) 479-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9712 South Carolina

Profile Details

NPI number 1265515795
LBN Legal business name Vincents Drug Store And Soda Fountain
DBA Doing business as Vincents Drug Store
Authorized official Cain, Susan BS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Feb 21st, 2017 - 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 1265515795 NPPES
Other 2092739 PK
MEDICAID 782460 PK

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