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NPI Code Detail

MEDICARE: PREFERRED CARE PHARMACEUTICAL SERVICES INC.

MEDICARE: PREFERRED CARE PHARMACEUTICAL SERVICES INC.
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
13336L0003XLong Term Care Pharmacy50005902SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831157726
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED CARE PHARMACEUTICAL SERVICES INC.
Provider Business Mailing Address
First Line : 4794-A HIGHWAY 162
Second Line :
City : HOLLYWOOD
State : SC
Zip : 29449
Country : US
Telephone Number : 843-769-6522
Fax Number : 843-769-5728
Provider Business Practice Location Address
First Line : 4794-A HIGHWAY 162
Second Line :
City : HOLLYWOOD
State : SC
Zip : 29449
Country : US
Telephone Number : 843-769-6522
Fax Number : 843-769-5728
Authorized Official
Title or Position : PRESIDENT
Name : MRS. MARY DIANE KEISLER
Credential : RPH
Telephone Number : 843-769-6522
Provider Enumeration Date : 05/02/2006
Last Update Date : 08/22/2020

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Directions to “PREFERRED CARE PHARMACEUTICAL SERVICES INC. ” Practice Location

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