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
9295 MEDICAL PLAZA DR, SUITE C, NORTH CHARLESTON, SC 29406-9137
(843) 414-0287
(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
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
16714
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162032
PK
—
Enumeration date
07/13/2016
Last updated
07/13/2016
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