Organization
PALMETTO HEALTH
Active
Other names
Palmetto Health Pharmacy 10 MP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ECKERT (CORPORATE DIRECTOR PFS)
(803) 296-2548
Entity
Organization
Contact information
Practice address
3301 HARDEN ST, EXT 10 MEDICAL PARK DRIVE, COLUMBIA, SC 29203-6897
(803) 296-2548
(803) 296-2548
Mailing address
3301 HARDEN ST, EXT 10 MEDICAL PARK DRIVE, COLUMBIA, SC 29203-6897
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
040573030
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4207468
—
SC
05
—
742544
—
SC
Enumeration date
12/13/2006
Last updated
10/19/2012
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