# MEDI FARE DRUG AND HOME HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477679843
- **Authorized official:** MS. PATRICIA BALOGA PHARM D (OWNER PHARMACIST)
- **Authorized official phone:** (864) 839-6384

## Contact information

- **Practice address:** 300 W PINE ST, BLACKSBURG, SC 29702-1548
- **Practice address phone:** (864) 839-6384
- **Practice address fax:** (864) 839-3513
- **Mailing address:** 300 W PINE ST, BLACKSBURG, SC 29702-1548
- **Mailing address phone:** (864) 839-6384
- **Mailing address fax:** (864) 839-3513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50008084 | SC | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50008084 | PHARMACY PERMIT | SC |
| 05 | — | 780847 | — | SC |