Healthcare Provider Details

I. General information

NPI: 1073764858
Provider Name (Legal Business Name): JUST CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 FARROW RD
COLUMBIA SC
29203-3220
US

IV. Provider business mailing address

7901 FARROW RD
COLUMBIA SC
29203-3220
US

V. Phone/Fax

Practice location:
  • Phone: 803-753-0781
  • Fax: 803-935-0350
Mailing address:
  • Phone: 803-753-0781
  • Fax: 803-935-0350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number10636
License Number StateSC

VIII. Authorized Official

Name: STEPHEN LAYTON
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 803-753-0715