# SELF REGIONAL HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Self Regional Healthcare Pharmacy Epting
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366313645
- **Authorized official:** MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
- **Authorized official phone:** (864) 725-4780

## Contact information

- **Practice address:** 520 EPTING AVE, GREENWOOD, SC 29646-4091
- **Practice address phone:** (864) 725-4172
- **Practice address fax:** (864) 725-4164
- **Mailing address:** 104 WELLS AVE, GREENWOOD, SC 29646-3837
- **Mailing address phone:** (864) 725-4673
- **Mailing address fax:** (864) 725-7424

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 09/17/2025