=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942808035
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HRM RX
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2020
-----------------------------------------------------
Last Update Date | 10/12/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 351 S. MIDWAY HWY JOHNSONVILLE
-----------------------------------------------------
City | JOHNSONVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29555-2955
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-625-1290
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 351 S MIDWAY HWY
-----------------------------------------------------
City | JOHNSONVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29555-6242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-625-1290
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | RHONDA H ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 843-625-1290
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------