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Organization
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC
Active
Organization
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC
Active
Other names
BJHCHS Hardeeville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH LAWRENCE POLKEY MD (CHIEF EXECUTIVE OFFICER)
(843) 987-7400
Entity
Organization
Contact information
Practice address
552 STINEY RD, HARDEEVILLE, SC 29927
(843) 322-1870
(843) 784-6665
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 322-1870
(843) 784-6665
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1679
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088976
PK
—
01
—
42-1912
MEDICARE
SC
05
—
716795
—
SC
Enumeration date
02/27/2007
Last updated
01/18/2023
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