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Contact Information

GASTON HEALTH ASSOCIATES INC
1118 MACK ST
GASTON, SC29053
 Phone: 803-939-8489
 Fax: 803-939-8489
 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 GASTON HEALTH ASSOCIATES INC

NPI Number 1740370725
LBN Legal business name GASTON HEALTH ASSOCIATES INC
Authorized official KYLE MCHUGH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 01/27/2021 - About 5 years ago
Identifiers
SC License # 50008011
SC Medicaid 780118
Other 4225543 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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