Organization
PALMETTO INFUSION SERVICES, LLC
Active
Organization
PALMETTO INFUSION SERVICES, LLC
Active
Other names
Palmetto Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE HARTLEY (CHIEF REIMBURSEMENT OFFICER)
(803) 277-5447
Entity
Organization
Contact information
Practice address
217 DOZIER BLVD STE 102, FLORENCE, SC 29501-4090
(800) 809-1265
(866) 872-8920
Mailing address
PO BOX 538476, ATLANTA, GA 30353-8476
(800) 809-1265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2178061
PK
—
Enumeration date
06/11/2018
Last updated
08/03/2023
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