Organization
LAX LLC
Active
Other names
Lancaster Pharmacy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL RPH (OWNER, PIC)
(803) 286-6262
Entity
Organization
Contact information
Practice address
751 HWY 9 BYPASS W, LANCASTER, SC 29720-4779
(803) 286-6262
(803) 286-0002
Mailing address
108 N WOODLAND DR STE C, LANCASTER, SC 29720-4779
(803) 286-6262
(803) 286-0002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13764
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134380
PK
—
Enumeration date
05/16/2007
Last updated
12/19/2022
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