# PALMETTO PATRIOTS HOME PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VSI OF SOUTH CAROLINA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003480013
- **Legal business name:** VSI OF SOUTH CAROLINA, LLC
- **Authorized official:** MR. MICHAEL HARRISON MCBRIDE II (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (864) 915-1816

## Contact information

- **Practice address:** 120 HAMPSHIRE DR, GAFFNEY, SC 29341-2267
- **Practice address phone:** (864) 480-7163
- **Mailing address:** PO BOX 5285, ANDERSON, SC 29623-5285
- **Mailing address phone:** (864) 480-7163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2021
- **Last updated:** 09/24/2021