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NPI Code Detail

MEDICARE: PALMETTO HEALTH ALLIANCE

MEDICARE: PALMETTO HEALTH ALLIANCE
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 Pharmacy13821SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14228171OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1952471211
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMETTO HEALTH ALLIANCE
Provider Business Mailing Address
First Line : 1308 LAUREL ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2514
Country : US
Telephone Number : 803-931-8123
Fax Number : 803-931-8201
Provider Business Practice Location Address
First Line : 1308 LAUREL ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2514
Country : US
Telephone Number : 803-931-8123
Fax Number : 803-931-8201
Authorized Official
Title or Position : LEAD PHARMACIST
Name : DAVID MARSH
Credential :
Telephone Number : 803-931-8124
Provider Enumeration Date : 11/08/2006
Last Update Date : 03/11/2013

Similar Medicare Providers

1982786331 — JOHN DAVID MARSH RPH
Practice Location Address:
1308 LAUREL ST , 2ND FLOOR
COLUMBIA, SC
29201-2514
Practice Phone: 803-931-8124
Practice Fax: 803-931-8201
1437229002 — MARIE FEGHALI BURNS RPH.
Practice Location Address:
1308 LAUREL ST
COLUMBIA, SC
29201-2514
Practice Phone: 803-931-8123
Practice Fax: 803-931-8201
1144391558 — MARTIN TURANEC RPH
Practice Location Address:
1308 LAUREL ST
COLUMBIA, SC
29201-2514
Practice Phone: 803-931-8124
Practice Fax:
1538231980 — MRS. LISA STEVENS WALKER RPH
Practice Location Address:
1308 LAUREL ST
COLUMBIA, SC
29201-2514
Practice Phone: 803-931-8123
Practice Fax: 803-931-8201
1326111097 — MRS. VICKI MCCONKEY BOOZER RPH
Practice Location Address:
1308 LAUREL ST
COLUMBIA, SC
29201-2514
Practice Phone: 803-931-8123
Practice Fax:
1487729745 — ALLEN L HORNE RPH
Practice Location Address:
1308 LAUREL ST
COLUMBIA, SC
29201-2514
Practice Phone: 803-931-8123
Practice Fax: 803-931-8201

Directions to “PALMETTO HEALTH ALLIANCE ” Practice Location

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