# PALMETTO PHARMACY ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALMETTO PHARMACY ENTERPRISES LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942205950
- **Authorized official:** RHONDA HARDISON (OWNER)
- **Authorized official phone:** (803) 943-9327

## Contact information

- **Practice address:** 810 ELM ST E, HAMPTON, SC 29924-2610
- **Practice address phone:** (803) 943-9327
- **Practice address fax:** (803) 943-9329
- **Mailing address:** PO BOX 853, HAMPTON, SC 29924-0853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 50007543 | SC | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 01/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4225240 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 775431 | — | SC |
| 05 | — | DE2489 | — | SC |