# PLTCP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmetto Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740201706
- **Authorized official:** DUANE EVERETT (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (803) 397-8904

## Contact information

- **Practice address:** 317 ZIMALCREST DR, COLUMBIA, SC 29210-6833
- **Practice address phone:** (803) 731-0203
- **Practice address fax:** (866) 935-3629
- **Mailing address:** 4900 PERRY HWY, BUILDING 2, 3RD FL, PITTSBURGH, PA 15229-2220
- **Mailing address phone:** (412) 931-3131
- **Mailing address fax:** (412) 931-2361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 14061 | SC | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 10/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4225454 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |