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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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