# MCLEOD LORIS SEACOAST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** McLeod Choice Pharmacy Seacoast
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629387352
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** SAMUEL FULTON ERVIN III (SR VP AND CFO)
- **Authorized official phone:** (843) 777-2910

## Contact information

- **Practice address:** 4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
- **Practice address phone:** (843) 366-3107
- **Mailing address:** PO BOX 100567, FLORENCE, SC 29502-0567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 13707 | SC | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 05/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2133930 | PK | — |
| 01 | — | 7498330001 | MEDICARE | SC |