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Mail Order Pharmacy

Columbia, South Carolina

Provider NPI: 1134131352

Organization Information:

Practice Location:
Tel: 803-731-5076  Fax: --

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


PrimaryCodeCategory/DescriptionStateLicense Number
Home Health
Home Infusion
N261QI0500XAmbulatory Health Care Facilities
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:

RX LICENSE10-04889SC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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