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Polaris Jack, Inc.
Compounding Pharmacy in Myrtle Beach, South Carolina
NPI 1740890433

Polaris Jack, Inc. is a Compounding Pharmacy based in Myrtle Beach, SC and is specialized in Compounding Pharmacy. Polaris Jack, Inc. practices in Myrtle Beach, SC. The NPI Number for Polaris Jack, Inc. is 1740890433 and holds a License No. (South Carolina).

The current practice location address for Polaris Jack, Inc. is 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC and can be reached out via phone at 843-293-7979 and via fax at 843-293-6499.

Location: 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC, 29588-6954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740890433
Provider Name
Polaris Jack, Inc.
Credential
Provider Entity Type
Organization
Address
3072 Dick Pond Rd Unit 2, Myrtle Beach, SC, 29588-6954
Phone Number
843-293-7979
Fax Number
843-293-6499
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3072 Dick Pond Rd Unit 2
City
Myrtle Beach
State
South Carolina
Zip
29588-6954
Phone Number
843-293-7979
Fax Number
843-293-6499
person
Provider Business Mailing Address Details
Address
3072 Dick Pond Rd Unit 2
City
Myrtle Beach
State
South Carolina
Zip
29588-6954
Phone Number
843-293-7979
Fax Number
843-293-6499
person
Provider's Taxonomy Details 1
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.
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3072 Dick Pond Rd,
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29588-6954
843-293-7979
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