National Provider Identifier Database

IRMO FAMILY PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

IRMO FAMILY PHARMACY LLC
7001 ST ANDREWS RD
A-16
COLUMBIA, SC29212
Phone: 803-749-9988
Fax: 803-749-9096
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for IRMO FAMILY PHARMACY LLC

NPI Number 1366531055
Legal business name
LBN
IRMO FAMILY PHARMACY LLC
Authorized official PHILLIP MIMS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 03/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 50007248
  • SC License #: 50009341
  • SC Medicaid: 772483
  • Other: 4224870 NCPDP
  • Other: 4224870 OTHER ID NUMBER-COMMERCIAL NUMBER

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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