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NPI Code Detail

MEDICARE: LONGS DRUGS OF LEXINGTON SC INC

MEDICARE: LONGS DRUGS OF LEXINGTON SC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336S0011XSpecialty Pharmacy
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1235812587
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONGS DRUGS OF LEXINGTON SC INC
Provider Business Mailing Address
First Line : 10604 COURSEY BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5064 RIVERS AVE STE 201
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-6304
Country : US
Telephone Number : 864-990-0242
Fax Number :
Authorized Official
Title or Position : CHIEF LEGAL OFFICER
Name : CARL CODY COLQUITT
Credential :
Telephone Number : 469-850-6930
Provider Enumeration Date : 08/11/2023
Last Update Date : 08/11/2023

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Directions to “LONGS DRUGS OF LEXINGTON SC INC ” Practice Location

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