Organization
RICKS CAROLINA PHARMACY LLC
Active
Other names
Rick's Carolina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ADAMS (PHARMACIST IN CHARGE)
(843) 784-2390
Entity
Organization
Contact information
Practice address
22546 WHYTE HARDEE BLVD, HARDEEVILLE, SC 29927-5738
(843) 784-2390
(843) 784-2391
Mailing address
PO BOX 425, HARDEEVILLE, SC 29927-0425
(843) 784-2390
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16370
SC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176788A
—
GA
01
—
2158571
PK
—
05
—
716370
—
SC
Enumeration date
02/15/2016
Last updated
02/21/2017
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