| Hopehealth Kingstree Dba Williamsburg Pharmacy | |
|
411 Thurgood Marshall Hwy Kingstree SC 29556-4032 | |
| (843) 656-0365 | |
| (843) 647-6457 |
| Full Name | Hopehealth Kingstree Dba Williamsburg Pharmacy |
|---|---|
| Speciality | Clinic/Center |
| Location | 411 Thurgood Marshall Hwy, Kingstree, South Carolina |
| Authorized Official Name and Position | Mark Vinson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8436560353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopehealth Kingstree Dba Williamsburg Pharmacy 360 N Irby St Florence SC 29501-2808 Ph: (843) 667-9414 | Hopehealth Kingstree Dba Williamsburg Pharmacy 411 Thurgood Marshall Hwy Kingstree SC 29556-4032 Ph: (843) 656-0365 |
| NPI Number | 1316754989 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Medicare PECOS PAC ID | 4082510623 |
|---|---|
| Medicare Enrollment ID | O20250805000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316754989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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