Organization · Type 2 NPI

McLeod Health Clarendon LTC Pharmacy

Pharmacy · Manning, SC

NPI number 1659360873 Active

Practice location

50 E Hospital St, Ste 1B
Manning, SC 29102-3149

Fax (803) 435-5271

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	16726 (SC)
Long Term Care Pharmacy	3336L0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

21 other providers at this address

Other pharmacy providers in Manning

See all in Manning →

NPI record

NPI: 1659360873
Entity type: Organization (Type 2)
Issued: Oct 20, 2005
Last updated: Feb 25, 2019
Status: Active
Subpart: Yes of McLeod Health

Other names

<unavail>
Cypress Center LTC Pharmacy · former legal business name
Cypress Center LTC Pharmacy · former legal business name

Authorized official

Samuel Fulton Ervin
SR VP and CFO
(843) 777-2910

Verify this record

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.

Is this your record? How to update it.

About NPI 1659360873

McLeod Health Clarendon LTC Pharmacy's National Provider Identifier is 1659360873, issued on Oct 20, 2005. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Manning, SC. The record was last updated on Feb 25, 2019.