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Organization
BEAUFORT PHARMACY LLC
Active
Organization
BEAUFORT PHARMACY LLC
Active
Other names
Beaufort Pharmacy and Compouding
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SIMMONS PHARMD (OWNER/PHARMACIST)
(843) 379-3278
Entity
Organization
Contact information
Practice address
968 RIBAUT RD STE 1, BEAUFORT, SC 29902-8003
(843) 379-3278
(843) 379-3232
Mailing address
968 RIBAUT RD, SUITE 1, BEAUFORT, SC 29902-8000
(843) 379-3278
(843) 379-3232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
16473
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159036
PK
—
05
—
716473
—
SC
Enumeration date
02/18/2016
Last updated
12/01/2022
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