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Organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Active
Organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Active
Other names
SRHS Pharmacy Gibbs - Carolina Upstate
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GENTILCORE PHARMD (OPERATIONS MANAGER - RETAIL PHARMAC)
(864) 560-1864
Entity
Organization
Contact information
Practice address
380 SERPENTINE DR, STE 201, SPARTANBURG, SC 29303-3066
(864) 560-1864
(864) 560-0864
Mailing address
380 SERPENTINE DR, STE 201, SPARTANBURG, SC 29303-3066
(864) 560-1864
(864) 560-0864
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
10237
SC
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10237
SC BOARD OF PHARMACY
SC
01
—
2125027
PK
—
05
—
710237
—
SC
Enumeration date
01/25/2006
Last updated
06/07/2022
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