TARRYTOWN EXPOCARE SC, INC.
Medical Equipment Supplier Yellow Pages
Columbia, South Carolina
Provider NPI: 1245390707
Organization Information:Organization Name: TARRYTOWN EXPOCARE SC, INC.
Practice Location:
111 EXECUTIVE CENTER DR STE 222 COLUMBIA, SC 29210 US
Tel: 803-217-1088 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:
111 EXECUTIVE CENTER DR STE 222 COLUMBIA, SC 29210 US
Tel: 803-217-1088 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | SC | 15046 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
751195 | SC | 05 | |
PK | 2091791 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin