Healthcare Provider Details

I. General information

NPI: 1851405831
Provider Name (Legal Business Name): FAMILY PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 DOCTORS CIRCLE
COLUMBIA SC
29203-6503
US

IV. Provider business mailing address

124 DOCTORS CIRCLE
COLUMBIA SC
29203-6503
US

V. Phone/Fax

Practice location:
  • Phone: 803-931-0953
  • Fax: 803-931-0954
Mailing address:
  • Phone: 803-931-0953
  • Fax: 803-931-0954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50008676
License Number StateSC

VIII. Authorized Official

Name: MR. CURTIS W. RANKINS
Title or Position: CEO & PRESIDENT
Credential:
Phone: 803-931-0953