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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for PROFESSIONAL PHARMACY OF MARION

NPI # 1922288869
LBN Legal business name PROFESSIONAL PHARMACY OF MARION
Authorized official THOMAS FULLER - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2007
Last updated 11/08/2007 - About 19 years ago
Identifiers
SC License # DPE023
SC Medicaid DPE023
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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