Avita Pharmacy 1051 is an authorized DME supplier for medicare equipments and products.
Avita Pharmacy 1051 is a Community/Retail Pharmacy in Lexington, South Carolina. This pharmacy is owned and operated by Longs Drugs Of Lexington Sc Inc. It is located at 1216 W Main St, Lexington and it's customer support contact number is 803-358-3030. The authorized person of Avita Pharmacy 1051 is Ashley Ellis who is Corporate Counsel of the pharmacy and his contact number is 803-254-5884. Active license number of Avita Pharmacy 1051 is 108052 for Community/Retail Pharmacy in Alaska. Avita Pharmacy 1051 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Avita Pharmacy 1051 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Avita Pharmacy 1051 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Avita Pharmacy 1051
Type:
Community/Retail Pharmacy
Location:
1216 W Main St, Lexington, South Carolina, 29072-2453
Phone:
803-358-3030
Fax:
803-358-3034
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ashley Ellis
Position:
Corporate Counsel
Contact Number:
803-254-5884
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1174779219
NPI Enumeration Date:
08 Aug, 2008
NPI Last Update On:
12 May, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avita Pharmacy 1051 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
108052
Alaska
Primary
Community/Retail Pharmacy
NRX0000789
District Of Columbia
Secondary
Community/Retail Pharmacy
320011982
Illinois
Secondary
Community/Retail Pharmacy
PHNR000221
Georgia
Secondary
Community/Retail Pharmacy
SC1980
Kentucky
Secondary
Community/Retail Pharmacy
1240
Hawaii
Secondary
Community/Retail Pharmacy
PH29285
Florida
Secondary
Community/Retail Pharmacy
41111MS
Idaho
Secondary
Community/Retail Pharmacy
64002113A
Indiana
Secondary
Community/Retail Pharmacy
4658
Iowa
Secondary
Community/Retail Pharmacy
PCN.0003017
Connecticut
Secondary
Community/Retail Pharmacy
OSP.0006745
Colorado
Secondary
Community/Retail Pharmacy
11597
Delaware
Secondary
Community/Retail Pharmacy
PHY.007436-NR
Louisiana
Secondary
Community/Retail Pharmacy
Y006749
Arizona
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2116693
Other
Pk
1174779219
Medicaid
South Carolina
Medicare Enrollment:
Avita Pharmacy 1051 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1355563206
O20141110002500
Longs Drugs Of Lexington Sc Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 602683, Charlotte, North Carolina
Zip:
28260-2683
Phone Number:
803-358-3030
Fax Number:
803-358-3034
Patients can reach Avita Pharmacy 1051 at 1216 W Main St, Lexington, South Carolina or can call on customer care at 803-358-3030.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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