Mcleod Health Clarendon Ltc Pharmacy, NPI 1659360873
Pharmacy in Manning, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659360873
NPI Entity Type Organization
Provider Name Mcleod Health Clarendon Ltc Pharmacy
Former Legal Business Name
Subpart of Organization Mcleod Health
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 50 E Hospital St, Ste 1b, Manning, SC, US
Provider Mailing Address 50 E Hospital St, Ste 1b, Manning, SC, US, 291023149
Is Sole Proprietor? No
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Organization Official

Official Name Samuel Fulton Ervin III
Official Position SR VP AND CFO
Phone 843-777-2910

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 16726
License State SC
Description 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.

Other Organization Name

Cypress Center LTC Pharmacy
Former Legal Business Name

Business Address

Mcleod Health Clarendon Ltc Pharmacy
50 E Hospital St
Ste 1b

Manning, SC, US

Phone: 803-435-5272
Fax: 803-435-5271

Mailing Address

Mcleod Health Clarendon Ltc Pharmacy
50 E Hospital St
Ste 1b
Manning, SC, US
ZIP 291023149
Phone: 803-435-5272
Fax: 803-435-5271

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336L0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
722205 SC MEDICAID 05
2163851 PK 01

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