Healthcare Provider Details

I. General information

NPI: 1972634319
Provider Name (Legal Business Name): LEXINGTON COUNTY HEALTH SERVICE DISTRICT,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 SUNSET BLVD
WEST COLUMBIA SC
29169-4810
US

IV. Provider business mailing address

2720 SUNSET BLVD
WEST COLUMBIA SC
29169-4810
US

V. Phone/Fax

Practice location:
  • Phone: 803-791-2253
  • Fax: 803-936-8869
Mailing address:
  • Phone: 803-791-2253
  • Fax: 803-936-8869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number50000719
License Number StateSC

VIII. Authorized Official

Name: MR. JAMES A WARD JR.
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMACIST
Phone: 803-791-2253