Organization · Type 2 NPI

Dedicated South Carolina Holding, LLC

Non-Pharmacy Dispensing Site · Columbia, SC

NPI number 1295469245 Active

Practice location

1022 Calhoun St # 201
Columbia, SC 29201-2406

Call (803) 610-4199 Map

Fax (803) 830-5446

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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NPI record

NPI: 1295469245
Entity type: Organization (Type 2)
Issued: Jul 14, 2022
Last updated: Feb 1, 2023
Status: Active
Subpart: Yes of Dedicated South Carolina Holding, LLC

Other names

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Dedicated Senior Medical Center Forest TC · doing business as
Dedicated Senior Medical Center Forest TC · doing business as

Authorized official

Mary Chen
Authorized Official
(786) 618-7245

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295469245

Dedicated South Carolina Holding, LLC's National Provider Identifier is 1295469245, issued on Jul 14, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Columbia, SC. The record was last updated on Feb 1, 2023.