Organization
SHERTECH PHARMACY SPARTANBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL E PRESCOTT III BSPHARM (PHARMACY MANAGER)
(864) 585-3850
Entity
Organization
Contact information
Practice address
1360 DRAYTON RD, SPARTANBURG, SC 29307-5104
(864) 585-3850
(864) 585-3760
Mailing address
1360 DRAYTON RD, SPARTANBURG, SC 29307-5104
(864) 585-3850
(864) 585-3760
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
3340
SC
3336C0004X
Compounding Pharmacy
Primary
3340
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4220644
NABP
SC
Enumeration date
06/01/2012
Last updated
06/01/2012
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