Healthcare Provider Details

I. General information

NPI: 1356934608
Provider Name (Legal Business Name): HERLONG HEALTH INVESTORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E MAIN ST
ROCK HILL SC
29730-5951
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 803-902-2060
  • Fax: 803-902-2061
Mailing address:
  • Phone: 803-939-8489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KYLE F MCHUGH
Title or Position: PRESIDENT
Credential: RPH
Phone: 803-240-9882