# SANDHILLS MEDICAL FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JEFFERSON DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881925501
- **Authorized official:** ALYSSA NORWOOD PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (803) 438-5537

## Contact information

- **Practice address:** 409 E CHURCH ST, JEFFERSON, SC 29718-8701
- **Practice address phone:** (843) 658-3006
- **Practice address fax:** (843) 658-7811
- **Mailing address:** 409 E CHURCH ST, JEFFERSON, SC 29718-8701
- **Mailing address phone:** (843) 658-3006
- **Mailing address fax:** (843) 658-7811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10706 | SC | Yes |

## Other

- **Enumeration date:** 01/20/2010
- **Last updated:** 06/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2123401 | PK | — |
| 05 | — | 710706 | — | SC |