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Organization
PROFESSIONAL PHARMACY SERVICES INC
Active
Organization
PROFESSIONAL PHARMACY SERVICES INC
Active
Other names
PROFESSIONAL PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KYLE STURGEON (CEO)
(843) 665-4051
Entity
Organization
Contact information
Practice address
209 S GRIFFIN ST STE B, FLORENCE, SC 29506-2860
(843) 665-4051
(843) 799-2493
Mailing address
PO BOX 7487, FLORENCE, SC 29502-7487
(843) 665-4051
(843) 799-2493
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
50-006977
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
50-006977
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092279
PK
—
05
—
769771
—
SC
Enumeration date
02/24/2006
Last updated
11/04/2020
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