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Organization
SANDHILLS MEDICAL FOUNDATION, INC.
Active
Organization
SANDHILLS MEDICAL FOUNDATION, INC.
Active
Other names
JEFFERSON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA NORWOOD PHARMD (DIRECTOR OF PHARMACY)
(803) 438-5537
Entity
Organization
Contact information
Practice address
409 E CHURCH ST, JEFFERSON, SC 29718-8701
(843) 658-3006
(843) 658-7811
Mailing address
409 E CHURCH ST, JEFFERSON, SC 29718-8701
(843) 658-3006
(843) 658-7811
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
10706
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123401
PK
—
05
—
710706
—
SC
Enumeration date
01/20/2010
Last updated
06/06/2016
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