# PALMETTO FAMILY PHARMACY REGENT PARK

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

## Provider details

- **NPI number:** 1629434071
- **Authorized official:** BRANDON HALL (CO-OWNER)
- **Authorized official phone:** (803) 980-7272

## Contact information

- **Practice address:** 1046 REGENT PARKWAY, SUITE 104, FORT MILL, SC 29715
- **Practice address phone:** (803) 980-7272
- **Mailing address:** 1046 REGENT PARKWAY, SUITE 104, FORT MILL, SC 29715

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 01/14/2016