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Kelley R Johnson, Llc
Long Term Care Pharmacy in Georgetown, South Carolina
NPI 1215041298

Kelley R Johnson, Llc is a Long Term Care Pharmacy based in Georgetown, SC and is specialized in Long Term Care Pharmacy. Kelley R Johnson, Llc practices in Georgetown, SC. The NPI Number for Kelley R Johnson, Llc is 1215041298 and holds a License No. (South Carolina).

The current practice location address for Kelley R Johnson, Llc is 1743 N Fraser St, Georgetown, SC and can be reached out via phone at 843-546-2222 and via fax at 843-527-8300.

Location: 1743 N Fraser St, Georgetown, SC, 29440-6407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215041298
Provider Name
Kelley R Johnson, Llc
Credential
Provider Entity Type
Organization
Address
1743 N Fraser St, Georgetown, SC, 29440-6407
Phone Number
843-546-2222
Fax Number
843-527-8300
Provider Enumeration Date
08/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
712092 05 SC
2088930 01 PK
institution
Provider Business Practice Location Address Details
Address
1743 N Fraser St
City
Georgetown
State
South Carolina
Zip
29440-6407
Phone Number
843-546-2222
Fax Number
843-527-8300
person
Provider Business Mailing Address Details
Address
1743 N Fraser St
City
Georgetown
State
South Carolina
Zip
29440-6407
Phone Number
843-546-2222
Fax Number
843-527-8300
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
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 located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
2164 (South Carolina)
Definition
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.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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