# EAU CLAIRE COOPERATIVE HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cooperative Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780788430
- **Authorized official:** DR. STUART HAMILTON (CEO)
- **Authorized official phone:** (803) 252-3770

## Contact information

- **Practice address:** 4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
- **Practice address phone:** (803) 252-3770
- **Practice address fax:** (803) 252-7443
- **Mailing address:** 4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
- **Mailing address phone:** (803) 252-3770
- **Mailing address fax:** (803) 252-7443

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 463323 | — | SC |
| 05 | — | DE2076 | — | SC |