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Contact Information

SOUTH CAROLINA CVS PHARMACY LLC
8523 OLD STATE RD
HOLLY HILL, SC29059
 Phone: 803-496-3954
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for SOUTH CAROLINA CVS PHARMACY LLC

NPI Number 1255490314
LBN Legal business name SOUTH CAROLINA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 03/01/2012 - About 14 years ago
Identifiers
SC License # 50004549
Other 4220531 OTHER ID NUMBER-COMMERCIAL 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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