# SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** G. WERBER BRYAN PSYCHIATRIC HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356487607
- **Authorized official:** MRS. CHRISTINE SHARP LATHAM RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (803) 935-7154

## Contact information

- **Practice address:** 220 FAISON DR, COLUMBIA, SC 29203-3210
- **Practice address phone:** (803) 935-7154
- **Practice address fax:** (803) 935-5627
- **Mailing address:** 220 FAISON DR, COLUMBIA, SC 29203-3210
- **Mailing address phone:** (803) 935-7154
- **Mailing address fax:** (803) 935-5627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283Q00000X | Psychiatric Hospital | 50001379 | SC | — |
| 3336L0003X | Long Term Care Pharmacy | 1379 | SC | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 04/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 713792 | — | SC |