Healthcare Provider Details

I. General information

NPI: 1285162305
Provider Name (Legal Business Name): RICHBURG DISCOUNT PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2017
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3191 LANCASTER HWY STE H
RICHBURG SC
29729
US

IV. Provider business mailing address

3191 LANCASTER HWY STE H
RICHBURG SC
29729-9238
US

V. Phone/Fax

Practice location:
  • Phone: 803-500-2998
  • Fax: 803-619-2211
Mailing address:
  • Phone: 803-500-2998
  • Fax: 803-619-2211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number17278
License Number StateSC

VIII. Authorized Official

Name: HITESH BHIMANI
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMACIST
Phone: 803-500-2998