# SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SRHS Pharmacy - Pelham
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902430267
- **Authorized official:** DR. TIMOTHY GENTILCORE PHARMD (OPERATIONS MGR - RETAIL PHARMACY)
- **Authorized official phone:** (864) 560-9212

## Contact information

- **Practice address:** 2759 S HIGHWAY 14, GREER, SC 29650-4926
- **Practice address phone:** (864) 530-6460
- **Mailing address:** 100 E WOOD ST STE 103, SPARTANBURG, SC 29303-3001
- **Mailing address phone:** (864) 560-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 06/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19339 | SOUTH CAROLINA BOARD OF PHARMACY | SC |
| 05 | — | 7Z1072 | — | SC |