Organization
S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Active
Other names
DHEC CSHCN Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE Y SOJOURNER RPH (DIRECTOR)
(803) 898-0813
Entity
Organization
Contact information
Practice address
8500 FARROW RD, BLDG 16, STATE PARK, SC 29147
(803) 896-6250
(803) 896-6252
Mailing address
1751 CALHOUN ST, PO BOX 101106, COLUMBIA, SC 29201-2606
(803) 898-0813
(803) 898-0557
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50009033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157080
UNISON HEALTH PLAN OF SC
SC
01
—
20021675
SELECT HEALTH PROVIDER #
SC
01
—
4224111
NABP
—
05
—
790334
—
SC
Enumeration date
01/03/2007
Last updated
06/27/2008
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