Organization
STATE OF SOUTH CAROLINA
Active
Other names
SC Department of Public Health, SCDPH Upstate Region Pharmacy, DHEC Upstate Region Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE SOJOURNER RPH (PHARMACY DIRECTOR)
(803) 898-0813
Entity
Organization
Contact information
Practice address
352 HALTON RD, GREENVILLE, SC 29607-3406
(864) 372-3057
Mailing address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-0813
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
14614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4216330
NCPDP
SC
05
—
714614
—
SC
Enumeration date
05/20/2013
Last updated
07/23/2024
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