Organization Name:  BAUER PHARMACY SERVICES COMPANY LLC


Practice Location:
10 SAMS POINT RD  BEAUFORT, SC 29907 US
Tel: 843-524-7979  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	332B00000X	Suppliers Durable Medical Equipment & Medical Supplies	SC	50003542
N	3336C0004X	Suppliers Pharmacy	SC	50003542
Y	3336C0003X	Suppliers Pharmacy

Other Provider Identifiers:

Issuer	Number	State	Type
OTHER ID NUMBER-COMMERCIAL NUMBER	4219689		01
DEA #	BB4991875	SC	01
	735424	SC	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin