Provider Demographics
NPI:1285162305
Name:RICHBURG DISCOUNT PHARMACY LLC
Entity type:Organization
Organization Name:RICHBURG DISCOUNT PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:HITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BHIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:803-500-2998
Mailing Address - Street 1:3191 LANCASTER HWY STE H
Mailing Address - Street 2:
Mailing Address - City:RICHBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29729-9238
Mailing Address - Country:US
Mailing Address - Phone:803-500-2998
Mailing Address - Fax:803-619-2211
Practice Address - Street 1:3191 LANCASTER HWY STE H
Practice Address - Street 2:
Practice Address - City:RICHBURG
Practice Address - State:SC
Practice Address - Zip Code:29729
Practice Address - Country:US
Practice Address - Phone:803-500-2998
Practice Address - Fax:803-619-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-02
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC172783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy