Organization Name: | PAWLEYS ISLAND PHARM AT LITCHFIELD |
NPI Number: | 1841653938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENN A COX (OWNER) |
Mailing Address: | 115 Willbrook Blvd Unit A Pawleys Island |
State: | SC US |
Postal Code: | 295856542 |
Phone Number: | 8433140498 |
Fax Number: | 8433140580 |
NPI Enumeration Date: | 04/05/2016 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 7379930001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |