# RIDGE LTC PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992293476
- **Authorized official:** BEVIN W. METTS (OWNER/PHARMACIST)
- **Authorized official phone:** (803) 756-4175

## Contact information

- **Practice address:** 4079 AUGUSTA HWY STE A, GILBERT, SC 29054
- **Practice address phone:** (803) 756-4175
- **Practice address fax:** (803) 756-4178
- **Mailing address:** PO BOX 2407, LEESVILLE, SC 29070-0407
- **Mailing address phone:** (803) 756-4175
- **Mailing address fax:** (803) 756-4178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 17919 | SC | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 03/25/2025