Organization
SPARTANBURG REGIONAL HEALTHCARE SYSTEM OUTPATIENT PHARMACY
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
KENNETH J MEINKE (CHIEF FINANCIAL OFFICER)
(864) 560-6103
Entity
Organization
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6772
(864) 560-7026
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6772
(864) 560-7026
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50003120
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20030
SC BOARD OF PHARMACY PERMIT
SC
01
—
4215174
NCPDP OR NABP NUMBER
SC
05
—
702355
—
SC
Enumeration date
09/07/2006
Last updated
06/07/2022
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