Organization · Type 2 NPI

Dedicated South Carolina Holding, LLC

Non-Pharmacy Dispensing Site · Columbia, SC

NPI number 1326788134 Active

Practice location

2571 Forest Dr
Columbia, SC 29204-2029

Call (803) 610-4199 Map

Fax (803) 830-7157

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.)

5 other providers at this address

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NPI record

NPI: 1326788134
Entity type: Organization (Type 2)
Issued: Mar 30, 2022
Last updated: Mar 30, 2022
Status: Active
Subpart: Yes of Dedicated South Carolina Holding, LLC

Other names

Dedicated Senior Medical Center Forest · doing business as

Authorized official

Mary Chen
Authorized Official
(305) 628-6117

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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 1326788134

Dedicated South Carolina Holding, LLC's National Provider Identifier is 1326788134, issued on Mar 30, 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 Mar 30, 2022.