| NPI | 1043365703 |
|---|---|
| Other Name | C.M.TUCKER,JR NURSING CARE CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BUTTERFLY RUDD Director Of Professional Services 803-737-5301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: SC 50001783) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SC 50001783) |
| 314000000X Skilled Nursing Facility (Licence: SC 50-001783) | |
| 315D00000X Hospice, Inpatient (Licence: SC 50001783) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: SC 50001783) | |
| 333600000X Pharmacy (Licence: SC 50001783) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-10-18 |