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NPI Code Detail

MEDICARE: MRVM LLC

MEDICARE: MRVM LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy17448SC

General Provider Information

NPI Number : 1508382839
Entity Type Code : Organization
Provider Name (Legal Business Name) : MRVM LLC
Provider Business Mailing Address
First Line : 1701 AUGUSTA ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-2925
Country : US
Telephone Number : 864-301-8441
Fax Number : 864-301-8442
Provider Business Practice Location Address
First Line : 1701 AUGUSTA ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-2925
Country : US
Telephone Number : 864-301-8441
Fax Number : 864-301-8442
Authorized Official
Title or Position : OWNER
Name : V PATEL
Credential :
Telephone Number : 864-301-8441
Provider Enumeration Date : 08/18/2017
Last Update Date : 07/21/2022

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Directions to “MRVM LLC ” Practice Location

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