Healthcare Provider Details

I. General information

NPI: 1245144633
Provider Name (Legal Business Name): COREFLOW RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 TWO ISLAND CT UNIT 202
MOUNT PLEASANT SC
29466-7406
US

IV. Provider business mailing address

1205 TWO ISLAND CT UNIT 202
MOUNT PLEASANT SC
29466-7406
US

V. Phone/Fax

Practice location:
  • Phone: 854-888-9070
  • Fax: 843-279-3185
Mailing address:
  • Phone: 854-888-9070
  • Fax: 843-279-3185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: GREGORY REGAN
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 854-888-9070