CCN: 421601 NPI: 1467760058 Organization

GROVE PARK PHARMACY HOSPICE

1324 CHESTNUT STREET
ORANGEBURG, SC 29115

Contact Information

Phone 8035360007
Enumeration Date 2010-09-17
Last Updated 2022-07-29

Taxonomies

Code: 251G00000X (Primary) License State: SC License: HPC0155

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 99942

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99942

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99942

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99942

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99942

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99942

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42

providerType 35

specialPaymentIndicator

carrierCode 11202

localityCode 01