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MEDICAL UNIVERSITY HOSPITAL AUTHORITY NPI 1952632234


NPI Information

NPI: 1952632234
Provider Name: MEDICAL UNIVERSITY HOSPITAL AUTHORITY

Doing Business As: MUSC HEALTH - HF MABRY CANCER CENTER

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 42D0710920

Address:
1161 COOK RD
ORANGEBURG, SC
ZIP 29118
Phone: (803) 395-2730
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MEDICAL UNIVERSITY HOSPITAL AUTHORITY is a clinic pharmacy pharmacy in Orangeburg, SC. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MEDICAL UNIVERSITY HOSPITAL AUTHORITY NPI is 1952632234. The provider is registered as an organization entity type.
The provider Is Doing Business As Musc Health - Hf Mabry Cancer Center.

The provider's business location address is:

1161 COOK RD
ORANGEBURG, SC
ZIP 29118-204
Phone: (803) 395-2730
Fax: (803) 395-2731

The provider's authorized official is Ericka A Sommers Wilson .
The authorized official title is Corporate Director and has the following contact phone number (843) 792-7810.

The CLIA number assigned to this NPI record is 42D0710920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 9/6/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17Z1258MEDICAIDSOUTH CAROLINA
221182OTHERSOUTH CAROLINASTATE PHARMACY LICENSE

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: 5/5/2024

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