Provider Demographics
NPI:1639267230
Name:DENMARK HEALTH INVESTORS INC
Entity Type:Organization
Organization Name:DENMARK HEALTH INVESTORS INC
Other - Org Name:DANIELS' PHARMACY OF DENMARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:803-939-8489
Mailing Address - Street 1:634 PINE RIDGE DR STE B
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29172-1885
Mailing Address - Country:US
Mailing Address - Phone:803-240-9882
Mailing Address - Fax:803-793-0616
Practice Address - Street 1:5036 CAROLINA HWY
Practice Address - Street 2:
Practice Address - City:DENMARK
Practice Address - State:SC
Practice Address - Zip Code:29042-1678
Practice Address - Country:US
Practice Address - Phone:803-793-3804
Practice Address - Fax:803-793-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0040723336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC610440Medicaid
SC610440Medicaid