# AVALON CARE CENTER - SC VA SUMTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patriot's Village Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023921996
- **Authorized official:** HYRUM KIRTON (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (801) 596-8844

## Contact information

- **Practice address:** 915 N WISE DR, SUMTER, SC 29153-8580
- **Practice address phone:** (803) 965-9002
- **Practice address fax:** (803) 965-5028
- **Mailing address:** 915 N WISE DR, SUMTER, SC 29153-8580
- **Mailing address phone:** (803) 965-9002
- **Mailing address fax:** (803) 965-5028

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 09/23/2026