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Contact Information

BOLAND PHARMACY
2732 CLEVELAND ST
ELLOREE, SC29047
 Phone: 803-897-2133
 Fax: 803-897-2752
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BOLAND PHARMACY

NPI Number 1649478025
LBN Legal business name BOLAND PHARMACY
Authorized official JULIAN BOLAND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2007
Last updated 09/23/2008 - About 18 years ago
Identifiers
SC License # 50001693
SC Medicaid 716933
Other 4212293 OTHER ID NUMBER
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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