National Provider Identifier Database

PROFESSIONAL PHARMACY OF MARION
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

PROFESSIONAL PHARMACY OF MARION
223 N MAIN ST
MARION, SC29571-3025
Phone: 843-423-1882
Fax: 843-423-5006
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for PROFESSIONAL PHARMACY OF MARION

NPI Number 1922288869
Legal business name
LBN
PROFESSIONAL PHARMACY OF MARION
Authorized official THOMAS FULLER - (OWNER/PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 11/08/2007
Last updated 11/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: DPE023
  • SC Medicaid: DPE023

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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