MEDICARE: B AND B CORPORATION

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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	50001094	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4207090	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1891850210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B AND B CORPORATION

Provider Business Mailing Address
First Line	:	3315 PLATT SPRINGS RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-2203
Country	:	US
Telephone Number	:	803-796-4070
Fax Number	:	803-796-7022

Provider Business Practice Location Address
First Line	:	3315 PLATT SPRINGS RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-2203
Country	:	US
Telephone Number	:	803-796-4070
Fax Number	:	803-796-7022

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BONNIE COUNTS
Credential	:	RPH
Telephone Number	:	803-796-4070

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	08/03/2012

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Directions to “B AND B CORPORATION ” Practice Location

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