# PALMETTO HEALTH ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmetto Health Pharmacy PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952471211
- **Authorized official:** DAVID MARSH (LEAD PHARMACIST)
- **Authorized official phone:** (803) 931-8124

## Contact information

- **Practice address:** 1308 LAUREL ST, COLUMBIA, SC 29201-2514
- **Practice address phone:** (803) 931-8123
- **Practice address fax:** (803) 931-8201
- **Mailing address:** 1308 LAUREL ST, COLUMBIA, SC 29201-2514
- **Mailing address phone:** (803) 931-8123
- **Mailing address fax:** (803) 931-8201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 13821 | SC | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 03/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4228171 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |