Organization
RICKS CAROLINA PHARMACY LLC
Active
Other names
Rick's Carolina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONAK D PATEL (OWNER)
(843) 271-8588
Entity
Organization
Contact information
Practice address
22546 WHYTE HARDEE BLVD, HARDEEVILLE, SC 29927-5368
(843) 784-2390
(843) 784-2391
Mailing address
PO BOX 425, HARDEEVILLE, SC 29927-0425
(843) 784-2390
(843) 784-2391
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
16370
SC
3336L0003X
Long Term Care Pharmacy
Primary
16370
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176788A
—
GA
05
—
716370
—
SC
Enumeration date
03/20/2017
Last updated
03/20/2017
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