Organization
ANDERSON APOTHECARIES, INC.
Active
Other names
Palmetto Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MICHAEL MAGAHA (PRESIDENT)
(864) 224-3581
Entity
Organization
Contact information
Practice address
1409 N MAIN ST, ANDERSON, SC 29621-4732
(864) 224-3581
(864) 231-6240
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
602383
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
602383
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
602383
SC
333600000X
Pharmacy
602383
SC
3336C0003X
Community/Retail Pharmacy
602383
SC
3336H0001X
Home Infusion Therapy Pharmacy
602383
SC
3336S0011X
Specialty Pharmacy
Primary
602383
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4012021
BCBS
TN
05
—
693
—
SC
Enumeration date
07/14/2006
Last updated
09/11/2025
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