# GENESIS HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS HEALTHCARE, INC
- **Other names:** Professional Pharmacy of Walterboro
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083495030
- **Legal business name:** GENESIS HEALTHCARE, INC
- **Authorized official:** TONY MEGNA (CEO)
- **Authorized official phone:** (803) 254-3676

## Contact information

- **Practice address:** 830 ROBERTSON BLVD, WALTERBORO, SC 29488-3081
- **Practice address phone:** (843) 510-5523
- **Practice address fax:** (843) 968-0059
- **Mailing address:** 8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
- **Mailing address phone:** (803) 254-3676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2023
- **Last updated:** 09/22/2026