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Organization
HIBBITTS ENTERPRISES LONG TERM CARE DIVISION LLC
Active
Organization
HIBBITTS ENTERPRISES LONG TERM CARE DIVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY YOUNG HIBBITTS PHARMD (OWNER PHARMACIST)
(803) 646-5036
Entity
Organization
Contact information
Practice address
735 MAIN ST N, NEW ELLENTON, SC 29809-2518
(803) 443-0077
Mailing address
PO BOX 485, NEW ELLENTON, SC 29809-0485
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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