SC HOME RX
Medical Equipment Supplier Yellow Pages
West Columbia, South Carolina
Provider NPI: 1942241880
Organization Information:Organization Name: SC HOME RX
Practice Location:
3685 LEAPHART RD STE A WEST COLUMBIA, SC 29169 US
Tel: 803-454-0194 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3685 LEAPHART RD STE A WEST COLUMBIA, SC 29169 US
Tel: 803-454-0194 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | SC | 50007457 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
774573 | SC | 05 | |
DEA LICENSE | 10074651 | SC | 01 |
NABP/NCPDP | 4225137 | SC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin