| Organization Name: | LITTLE RIVER MEDICAL CENTER PHARMACY |
| NPI Number: | 1043394299 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA E JANOWSKI (DIRECTOR OF PHARMACY) |
| Mailing Address: | 4303 Live Oak Dr Pharmacy Department Little River |
| State: | SC US |
| Postal Code: | 295669138 |
| Phone Number: | 8436638099 |
| Fax Number: | 8432818454 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 09/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | 50006072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |