Organization
NEPHRON PHARMACY LLC
Active
Other names
Nephron Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM YTTRE (VP OF FINANCE)
(803) 569-2800
Entity
Organization
Contact information
Practice address
4500 12TH STREET EXT STE B, WEST COLUMBIA, SC 29172-3025
(803) 569-2800
(803) 296-0674
Mailing address
4500 12TH STREET EXT, WEST COLUMBIA, SC 29172-3025
(803) 569-2812
(803) 296-0674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100672020
—
KY
05
—
7Z1082
—
SC
Enumeration date
04/20/2020
Last updated
03/01/2022
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