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A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist | |
Hospice, Inpatient |
315D00000X | |||
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Nursing Facility/Intermediate Care Facility |
313M00000X | A3[10] | Other Nursing Facility | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist | |
Skilled Nursing Facility |
314000000X | A1[8] | Skilled Nursing Facility |
| NPI # | 1043365703 |
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| LBN Legal business name | SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH | ||||||||||||
| Authorized official | KIMBERLY RUDD - (DIRECTOR OF PROFESSIONAL SERVICES) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 01/24/2007 | ||||||||||||
| Last updated | 10/18/2011 - About 15 years ago | ||||||||||||
| Identifiers |
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SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH