NPI 1326788134
Dedicated South Carolina Holding, LLC
Practice location
- Address
- 2571 Forest Dr, Columbia, SC 29204-2029
- Phone
- (803) 610-4199
- Fax
- (803) 830-7157
- Mailing address
- 1395 NW 167th St, Miami Gardens, FL 33169-5710
Authorised official
- Name
- Mary Chen
- Title
- Authorized Official
- Phone
- (305) 628-6117
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1326788134
- Entity type
- Organization
- NPI issued
- 30 Mar 2022
- Record last updated
- 30 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.