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Organization
LONG POINT PHARMACY
Active
Organization
LONG POINT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE R. BETHEA (OFFICE MANAGER)
(843) 884-8806
Entity
Organization
Contact information
Practice address
616 LONG POINT RD, UNIT H, MT PLEASANT, SC 29464-8222
(843) 884-8806
(843) 884-1253
Mailing address
616 LONG POINT RD, UNIT H, MT PLEASANT, SC 29464-8222
(843) 884-8806
(843) 884-1253
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
50006597
SC
3336C0003X
Community/Retail Pharmacy
Primary
BL7753331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006597
SC STATE CONT. SUBST ACT
SC
01
—
4224060
NCPDP
—
01
—
5006597
SC PHARMACY PERMIT
SC
05
—
765977
—
SC
Enumeration date
02/07/2007
Last updated
03/07/2023
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