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Organization

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

Active
Other names
Eastover Cooperative Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DELGADO CANTAVE (CEO)
(803) 733-5969
Entity
Organization

Contact information

Practice address
3041 OLD EASTOVER RD, EASTOVER, SC 29044-8303
(803) 875-8010
Mailing address
3041 OLD EASTOVER RD, EASTOVER, SC 29044-8303
(803) 875-8010

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4235885
NCPDP
SC
Enumeration date
09/26/2019
Last updated
02/03/2022
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