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Organization

CONWAY HOSPITAL, INC.

Active
Other names
Conway Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization

Contact information

Practice address
300 SINGLETON RIDGE RD UNIT 104, CONWAY, SC 29526-9142
(843) 347-8071
(843) 347-8309
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7Z1390
SC
Enumeration date
04/17/2025
Last updated
01/15/2026
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