# SELF REGIONAL HEALTHCARE PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edgefield Community Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073486494
- **Authorized official:** MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
- **Authorized official phone:** (864) 725-4780

## Contact information

- **Practice address:** 300 RIDGE MEDICAL PLAZA RD, EDGEFIELD, SC 29824-4525
- **Practice address phone:** (803) 384-4140
- **Practice address fax:** (803) 384-4141
- **Mailing address:** 300 RIDGE MEDICAL PLAZA RD, EDGEFIELD, SC 29824-4525
- **Mailing address phone:** (803) 384-4140
- **Mailing address fax:** (803) 384-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2025
- **Last updated:** 09/24/2025