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Organization
THREE RIVERS MIDLANDS
Active
Organization
THREE RIVERS MIDLANDS
Active
Other names
Three Rivers Midlands Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE CRANDALL DANSBY PHARMD (PHARMACIST IN CHARGE)
(803) 727-1358
Entity
Organization
Contact information
Practice address
200 ERMINE RD, WEST COLUMBIA, SC 29170-2024
(803) 791-9918
(803) 926-5934
Mailing address
200 ERMINE RD, WEST COLUMBIA, SC 29170-2024
(803) 791-9918
(803) 926-5934
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
RTF-0018
SC
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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