# SANDHILLS MEDICAL FOUNDATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SANDHILLS MEDICAL FOUNDATION, INC
- **Other names:** Sandhills Medical Pharmacy \#5
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174387245
- **Legal business name:** SANDHILLS MEDICAL FOUNDATION, INC
- **Authorized official:** ERNEST WARDLAW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (803) 900-6612

## Contact information

- **Practice address:** 215 N. PEARL ST, PAGELAND, SC 29728
- **Practice address phone:** (803) 438-5537
- **Mailing address:** 40 BALDWIN AVE, LUGOFF, SC 29078
- **Mailing address phone:** (803) 438-5537
- **Mailing address fax:** (803) 438-5546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 02/09/2024