# LONG POINT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477693729
- **Authorized official:** MRS. DENISE R. BETHEA (OFFICE MANAGER)
- **Authorized official phone:** (843) 884-8806

## Contact information

- **Practice address:** 616 LONG POINT RD, UNIT H, MT PLEASANT, SC 29464-8222
- **Practice address phone:** (843) 884-8806
- **Practice address fax:** (843) 884-1253
- **Mailing address:** 616 LONG POINT RD, UNIT H, MT PLEASANT, SC 29464-8222
- **Mailing address phone:** (843) 884-8806
- **Mailing address fax:** (843) 884-1253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 50006597 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | BL7753331 | SC | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 03/07/2023

## 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 |