Organization
LITTLE RIVER MEDICAL CENTER INC
Active
Parent organization
LITTLE RIVER MEDICAL CENTER INC
Other names
Little River Medical Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE RIVER MEDICAL CENTER INC
Authorized official
MR. KRISTOPHER LEE CHIPLINSKI PHARMD (CHIEF PHARMACY OFFICER)
(843) 663-8031
Entity
Organization
Contact information
Practice address
3236 HOLMESTOWN RD, MYRTLE BEACH, SC 29588-7495
(843) 663-8833
(843) 829-1150
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8031
(843) 663-8031
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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