Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Self Regional Healthcare Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW T LOGAN MD (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-2768
(864) 725-5768
Mailing address
1325 SPRING ST, OUT PATIENT PHARMACY, GREENWOOD, SC 29646-3860
(864) 725-4178
(864) 725-4102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15929
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088425
PK
—
05
—
746553
—
SC
Enumeration date
10/09/2007
Last updated
12/14/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up