Organization
SENECA PHARMACY
Active
Other names
Seneca Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CALVERT RPH (PHARMACIST IN CHARGE)
(864) 985-1359
Entity
Organization
Contact information
Practice address
15891 WELLS HWY, SENECA, SC 29678-1078
(864) 985-1359
(864) 985-1362
Mailing address
15891 WELLS HWY, SENECA, SC 29678-1078
(864) 985-1359
(864) 985-1362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15645
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715645
—
SC
01
—
DE3576
SC MEDICAID DME ID
SC
Enumeration date
02/19/2015
Last updated
07/20/2015
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