# GROVE PARK PHARMACY HOME CARE, LLC

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

## Provider details

- **NPI number:** 1649834045
- **Authorized official:** MRS. DEBORAH B HARE LMSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 536-6644

## Contact information

- **Practice address:** 1353 GROVE PARK DR, ORANGEBURG, SC 29115-2455
- **Practice address phone:** (803) 536-6644
- **Practice address fax:** (803) 937-1528
- **Mailing address:** PO BOX 701, ORANGEBURG, SC 29116-0701
- **Mailing address phone:** (803) 536-6644
- **Mailing address fax:** (803) 937-1528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2019
- **Last updated:** 05/01/2019