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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 Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for IRMO FAMILY PHARMACY LLC

NPI # 1366531055
LBN Legal business name IRMO FAMILY PHARMACY LLC
Authorized official PHILLIP MIMS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 03/21/2008 - About 18 years ago
Identifiers
SC License # 50007248
SC License # 50009341
SC Medicaid 772483
Other 4224870 NCPDP
Other 4224870 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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