# CENTERWELL PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Humana Pharmacy, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104377597
- **Authorized official:** SEAN LYSINGER (VP)
- **Authorized official phone:** (502) 580-2376

## Contact information

- **Practice address:** 101 ORCHARD PARK DR, GREENVILLE, SC 29615-3531
- **Practice address phone:** (864) 729-6611
- **Mailing address:** 101 ORCHARD PARK DR, GREENVILLE, SC 29615-3531
- **Mailing address phone:** (864) 729-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 16915 | SC | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 02/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2165746 | PK | — |