Organization
PH AND F INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
1120 DEVINNEY ROAD, YORK, SC 29745-2110
(803) 684-9096
(803) 684-9094
Mailing address
1120 DEVINNEY ROAD, YORK, SC 29745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2414
—
SC
Enumeration date
07/03/2007
Last updated
09/21/2007
About Stedi
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