Healthcare Provider Details

I. General information

NPI: 1295359818
Provider Name (Legal Business Name): SCOTLAND MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

957 CHERAW ST
BENNETTSVILLE SC
29512-2420
US

IV. Provider business mailing address

500 LAUCHWOOD DR
LAURINBURG NC
28352-5501
US

V. Phone/Fax

Practice location:
  • Phone: 843-456-7735
  • Fax: 843-456-7739
Mailing address:
  • Phone: 910-291-7782
  • Fax: 910-291-7788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW D. PRACHT
Title or Position: CFO
Credential:
Phone: 910-291-7000