Palmetto Pirate Provisions, LLC

NPI #1285399154 in West Columbia, South Carolina

Provider Information

NPI Number: 1285399154
Entity Type: Organization
Organization Name: Palmetto Pirate Provisions, LLC
Primary Specialty: Meals
Enumeration Date: Nov 4, 2021
Last Updated: Nov 4, 2021

Practice Location

Address: 725 MEETING ST
City: West Columbia
State: South Carolina
ZIP Code: 29169-7304
Phone: (803) 530-7557

Authorized Official

Name: GREGORY HUGH MARTIN, CDM, CFPP
Title: OWNER
Phone: (803) 530-7557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X	Primary

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