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GUARDIAN PHARMACY OF SC ONE LLC NPI 1982085767


NPI Information

NPI: 1982085767
Provider Name: GUARDIAN PHARMACY OF SC ONE LLC

Doing Business As: PREFERRED CARE PHARMACEUTICAL SERVICES

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4794A HIGHWAY 162
HOLLYWOOD, SC
ZIP 29449
Phone: (843) 769-6522
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GUARDIAN PHARMACY OF SC ONE LLC is a long term care pharmacy pharmacy in Hollywood, 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. GUARDIAN PHARMACY OF SC ONE LLC NPI is 1982085767. The provider is registered as an organization entity type.
The provider Is Doing Business As Preferred Care Pharmaceutical Services.

The provider's business location address is:

4794A HIGHWAY 162
HOLLYWOOD, SC
ZIP 29449-740
Phone: (843) 769-6522
Fax: (843) 769-5728

The provider's authorized official is David Whitlock .
The authorized official title is President and has the following contact phone number (843) 545-8800.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 7/19/2018.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy16042SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12152908OTHERPK
21982085767MEDICAIDMAINE
3716042MEDICAIDSOUTH 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: 5/5/2024

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