Organization
FAMILY HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN WARDLAW MD (CHIEF EXECUTIVE OFFICER)
(803) 531-6900
Entity
Organization
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
50001789
SC
Other
Enumeration date
10/24/2006
Last updated
01/15/2025
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