MEDICARE: H & M HEALTHCARE 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
1	333600000X	Pharmacy	50007540	SC
2	3336C0003X	Community/Retail Pharmacy

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	4201101	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1922198902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & M HEALTHCARE INC

Provider Business Mailing Address
First Line	:	634 PINE RIDGE DR STE B
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29172-1885
Country	:	US
Telephone Number	:	803-939-8489
Fax Number	:	803-247-3081

Provider Business Practice Location Address
First Line	:	4633 SAVANNAH HWY
Second Line	:
City	:	NORTH
State	:	SC
Zip	:	29112
Country	:	US
Telephone Number	:	803-247-2133
Fax Number	:	803-247-3081

Authorized Official
Title or Position	:	OWNER
Name	:	KYLE F MCHUGH
Credential	:	RPH.
Telephone Number	:	803-247-2133

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	10/28/2022

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Directions to “H & M HEALTHCARE INC ” Practice Location

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