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Organization
OM SAI RX LLC.
Active
Organization
OM SAI RX LLC.
Active
Other names
Tega Cay Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PADMAVATHI DITTAKAVI (PRESIDENT)
(803) 547-6100
Entity
Organization
Contact information
Practice address
1741 GOLD HILL RD, SUITE 106, FORT MILL, SC 29708
(803) 547-6100
(803) 547-7720
Mailing address
1741 GOLD HILL RD, SUITE 106, FORT MILL, SC 29708
(803) 547-6100
(803) 547-7720
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797985
—
SC
Enumeration date
08/18/2006
Last updated
05/15/2024
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