Medi-Fare Drug & Home Health Center Inc
Organization Active NPI Pharmacy · Blacksburg, SC
NPI 1851389159 · NPPES record last updated May 29, 2012
Key facts
- NPI
- 1851389159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- MEDI-FARE DRUG & HOME HEALTH CENTER INC
- Practice address
- 300 W Pine St
Blacksburg, SC 29702-1548 - Phone
- (864) 839-6500
- Fax
- (864) 839-3513
- NPI assigned
- Oct 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Pat Baloga-Stephens, PHARM D
- Title
- Owner/President
- Phone
- (864) 839-6384
Practitioners 1
National Provider Directory
Locations
300 W Pine St
Blacksburg, SC 29702
Phone (864) 839-6384
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
300 W Pine St
Blacksburg, SC 29702-1548
Mailing address
300 W Pine St
Blacksburg, SC 29702-1548
Phone (864) 839-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2372 | Medicaid | SC |
Other providers in Blacksburg, SC
- Karma Healthcare LLC
- Kimberly Keeter
- Sonya Kumar
- Dorian Mann
- Medi Fare Drug and Home Health Center Inc
- Janeeka Sharpe Miller
- Mark Kenneth Nix
- Novant Medical Group Inc
- Suryakant Patel
- Paige Pennington
All providers in Blacksburg, SC · Pharmacy in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.