# PALMETTO FAMILY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmetto Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346571460
- **Authorized official:** BRANDON HALL (CO-OWNER)
- **Authorized official phone:** (803) 981-4957

## Contact information

- **Practice address:** 1030 OAKLAND AVE STE 101, ROCK HILL, SC 29732-3074
- **Practice address phone:** (803) 980-7272
- **Practice address fax:** (803) 980-6969
- **Mailing address:** 1030 OAKLAND AVE, SUITE 101, ROCK HILL, SC 29732-3035
- **Mailing address phone:** (803) 980-7272
- **Mailing address fax:** (803) 980-6969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 10788 | SC | Yes |

## Other

- **Enumeration date:** 01/29/2010
- **Last updated:** 04/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2123656 | PK | — |
| 05 | — | 710788 | — | SC |