Healthcare Provider Details

I. General information

NPI: 1831289818
Provider Name (Legal Business Name): GIANT HEALTH INVESTORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 10/10/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6611 SAVANNAH HWY
NEESES SC
29107-9361
US

IV. Provider business mailing address

634 PINE RIDGE DR STE B
WEST COLUMBIA SC
29172-1885
US

V. Phone/Fax

Practice location:
  • Phone: 803-247-2135
  • Fax: 803-247-4335
Mailing address:
  • Phone: 803-939-8489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number50007541
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KYLE FRANKLIN MCHUGH
Title or Position: PRESIDENT
Credential: RPH
Phone: 803-939-8489