Healthcare Provider Details
I. General information
NPI: 1639267230
Provider Name (Legal Business Name): DENMARK HEALTH INVESTORS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2006
Last Update Date: 12/09/2023
Certification Date: 12/09/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5036 CAROLINA HWY
DENMARK SC
29042-1678
US
IV. Provider business mailing address
634 PINE RIDGE DR STE B
WEST COLUMBIA SC
29172-1885
US
V. Phone/Fax
- Phone: 803-793-3804
- Fax: 803-793-0616
- Phone: 803-240-9882
- Fax: 803-793-0616
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 004072 |
| License Number State | SC |
VIII. Authorized Official
Name:
KYLE
FRANKLIN
MCHUGH
Title or Position: PRESIDENT
Credential: RPH
Phone: 803-939-8489