# RICKS CAROLINA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rick's Carolina Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578004719
- **Authorized official:** MR. RONAK D PATEL (OWNER)
- **Authorized official phone:** (843) 271-8588

## Contact information

- **Practice address:** 22546 WHYTE HARDEE BLVD, HARDEEVILLE, SC 29927-5368
- **Practice address phone:** (843) 784-2390
- **Practice address fax:** (843) 784-2391
- **Mailing address:** PO BOX 425, HARDEEVILLE, SC 29927-0425
- **Mailing address phone:** (843) 784-2390
- **Mailing address fax:** (843) 784-2391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | 16370 | SC | — |
| 3336L0003X | Long Term Care Pharmacy | 16370 | SC | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003176788A | — | GA |
| 05 | — | 716370 | — | SC |