Organization
MCLEOD LORIS SEACOAST HOSPITAL
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Choice Pharmacy Seacoast
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR VP AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(843) 366-3107
Mailing address
PO BOX 100567, FLORENCE, SC 29502-0567
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13707
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133930
PK
—
01
—
7498330001
MEDICARE
SC
Enumeration date
09/29/2010
Last updated
05/12/2021
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