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SOUTH CHURCH HEALTH MART PHARMACY LLC NPI 1073780623


NPI Information

NPI: 1073780623
Provider Name: SOUTH CHURCH HEALTH MART PHARMACY LLC

Doing Business As: SOUTH CHURCH HEALTH MART PHARMACY LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
550 S CHURCH ST
UNIT #9
SPARTANBURG, SC
ZIP 29306
Phone: (864) 596-4501
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SOUTH CHURCH HEALTH MART PHARMACY LLC is a community/retail pharmacy pharmacy in Spartanburg, SC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SOUTH CHURCH HEALTH MART PHARMACY LLC NPI is 1073780623. The provider is registered as an organization entity type.
The provider Is Doing Business As South Church Health Mart Pharmacy Llc.

The provider's business location address is:

550 S CHURCH ST
UNIT #9
SPARTANBURG, SC
ZIP 29306-306
Phone: (864) 596-4501
Fax: (864) 596-4503

The provider's authorized official is Diandra Brooks .
The authorized official title is Managing Member and has the following contact phone number (864) 641-5351.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 12/16/2009.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy10246SOUTH 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
14227751OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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