Organization
SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Active
Other names
DHEC CENTRAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA BAYONE MHS (ADAP DIRECTOR)
(803) 898-0829
Entity
Organization
Contact information
Practice address
8500 FARROW RD, BLDG 16, STATE PARK, SC 29147
(803) 896-6250
(803) 896-6252
Mailing address
PO BOX 809, STATE PARK, SC 29147-0809
(803) 896-6250
(803) 896-6252
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
50002986
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092196
PK
—
05
—
750001
—
SC
Enumeration date
06/16/2006
Last updated
09/30/2016
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