# BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BJHCHS Port Royal Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508994872
- **Authorized official:** FAITH LAWRENCE POLKEY MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (843) 987-7400

## Contact information

- **Practice address:** 1320 RIBAUT RD, PORT ROYAL, SC 29935-1118
- **Practice address phone:** (843) 332-1832
- **Practice address fax:** (843) 522-1286
- **Mailing address:** PO BOX 357, RIDGELAND, SC 29936-2605
- **Mailing address phone:** (843) 322-1832
- **Mailing address fax:** (843) 522-1286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6894 | SC | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 01/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2092251 | PK | — |
| 05 | — | 768947 | — | SC |