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PRUITTHEALTH PHARMACY SERVICES INC. NPI 1841237245


NPI Information

NPI: 1841237245
Provider Name: PRUITTHEALTH PHARMACY SERVICES, INC.

Doing Business As: PRUITTHEALTH PHARMACY SERVICES - LEXINGTON

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 42D2209489

Address:
328 RIVERCHASE WAY
LEXINGTON, SC
ZIP 29072
Phone: (803) 739-4949
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PRUITTHEALTH PHARMACY SERVICES, INC. is a long term care pharmacy pharmacy in Lexington, SC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PRUITTHEALTH PHARMACY SERVICES, INC. NPI is 1841237245. The provider is registered as an organization entity type.
The provider Is Doing Business As Pruitthealth Pharmacy Services - Lexington.

The provider's business location address is:

328 RIVERCHASE WAY
LEXINGTON, SC
ZIP 29072-010
Phone: (803) 739-4949
Fax: (803) 739-4950

The provider's authorized official is Neil L Pruitt .
The authorized official title is Chairman And Ceo and has the following contact phone number (770) 279-6200.

The CLIA number assigned to this NPI record is 42D2209489 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 7/9/2014.


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
13336L0003XPharmacyLong Term Care Pharmacy50006741SOUTH 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
10923360002MEDICARE NSCSOUTH CAROLINA

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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