Organization
CARESOUTH CAROLINA INC
Active
Other names
CSC Community Pharmacy-Latta
Organization subpart
No
Provider details
NPI number
Authorized official
ANN LEWIS (PRESIDENT)
(843) 857-0111
Entity
Organization
Contact information
Practice address
122 LATIMER ST, LATTA, SC 29565-1828
(843) 627-6261
(843) 627-6265
Mailing address
122 LATIMER ST, LATTA, SC 29565-1828
(843) 627-6261
(843) 627-6265
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16297
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157481
PK
—
05
—
716297
—
SC
Enumeration date
01/21/2016
Last updated
09/19/2025
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