Organization
PALMETTO PHARMACY ENTERPRISES LLC
Active
Other names
PALMETTO PHARMACY ENTERPRISES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA HARDISON (OWNER)
(803) 943-9327
Entity
Organization
Contact information
Practice address
810 ELM ST E, HAMPTON, SC 29924-2610
(803) 943-9327
(803) 943-9329
Mailing address
PO BOX 853, HAMPTON, SC 29924-0853
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50007543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4225240
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
775431
—
SC
05
—
DE2489
—
SC
Enumeration date
06/16/2005
Last updated
01/09/2012
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