Organization
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC
Active
Other names
BJHCHS Port Royal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH LAWRENCE POLKEY MD (CHIEF EXECUTIVE OFFICER)
(843) 987-7400
Entity
Organization
Contact information
Practice address
1320 RIBAUT RD, PORT ROYAL, SC 29935-1118
(843) 332-1832
(843) 522-1286
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 322-1832
(843) 522-1286
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092251
PK
—
05
—
768947
—
SC
Enumeration date
03/01/2007
Last updated
01/18/2023
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