# PREFERRED CARE PHARMACEUTICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREFERRED CARE PHARMACEUTICAL SVCS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316004633
- **Authorized official:** MARY KEISLER (PRESIDENT)
- **Authorized official phone:** (843) 769-6522

## Contact information

- **Practice address:** 4794 A HWY 162, HOLLYWOOD, SC 29449
- **Practice address phone:** (843) 769-6522
- **Practice address fax:** (843) 769-5728
- **Mailing address:** 4794 A HWY 162, HOLLYWOOD, SC 29449
- **Mailing address phone:** (843) 769-6522
- **Mailing address fax:** (843) 769-5728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 50005902 | SC | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 04/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4219780 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 735696 | — | SC |