Organization
PROFESSIONAL PHARMACY SERVICES INC
Active
Other names
PROFESSIONAL PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KYLE STURGEON (CEO)
(843) 665-4051
Entity
Organization
Contact information
Practice address
209 S GRIFFIN ST STE B, FLORENCE, SC 29506-2860
(843) 665-4051
(843) 799-2493
Mailing address
PO BOX 7487, FLORENCE, SC 29502-7487
(843) 665-4051
(843) 799-2493
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
50-006977
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
50-006977
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092279
PK
—
05
—
769771
—
SC
Enumeration date
02/24/2006
Last updated
11/04/2020
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