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IRMO FAMILY PHARMACY LLC NPI 1366531055


NPI Information

NPI: 1366531055
Provider Name: IRMO FAMILY PHARMACY LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
7001 ST ANDREWS RD
A-16
COLUMBIA, SC
ZIP 29212
Phone: (803) 749-9988
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IRMO FAMILY PHARMACY LLC is a pharmacy in Columbia, SC. The provider is 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. IRMO FAMILY PHARMACY LLC NPI is 1366531055. The provider is registered as an organization entity type.

The provider's business location address is:

7001 ST ANDREWS RD
A-16
COLUMBIA, SC
ZIP 29212
Phone: (803) 749-9988
Fax: (803) 749-9096

The provider's authorized official is Phillip D Mims .
The authorized official title is President and has the following contact phone number (803) 917-3627.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 3/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy50007248SOUTH CAROLINANo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy50009341SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14224870OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2772483MEDICAIDSOUTH CAROLINA
34224870OTHERNCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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