PALMETTO PIRATE PROVISIONS, LLC - NPI 1285399154

Q: What is the provider's specialty?

The provider's specialty is Meals with taxonomy code 174200000X.

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About Palmetto Pirate Provisions, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALMETTO PIRATE PROVISIONS, LLC (NPI 1285399154), doing business as Primal Gourmet, is a healthcare organization registered as a meals in West Columbia, South Carolina and active in the NPI registry since November 2021. The organization lists Gregory Hugh Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1285399154

Entity TypeOrganization

Primary Taxonomy174200000X

Legal Business NamePALMETTO PIRATE PROVISIONS, LLC

Location Address725 MEETING STWest Columbia, SC 29169-7304

Mailing Address725 Meeting StWest Columbia, SC 29169-7304 · (803) 530-7557

Phone(803) 530-7557

Organization SubpartNo

Authorized OfficialGregory Hugh MartinOwner · (803) 530-7557

Enumeration DateNovember 4, 2021

NPPES CertifiedNovember 2, 2021

✔ NPI 1285399154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMealsOther Service Providers

Taxonomy Code174200000X

Definition

A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

725 MEETING ST, West Columbia, SC 29169

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Other Names 1

Doing Business AsPrimal Gourmet

Frequently Asked Questions

What is PALMETTO PIRATE PROVISIONS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1285399154, enumerated as an "organization" on November 04, 2021.

Where is the provider located?

The provider is located at 725 MEETING ST WEST COLUMBIA, SC 29169 and the phone number is (803) 530-7557.

What is the provider's specialty?

Meals with taxonomy code 174200000X.