Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Other names
G. WERBER BRYAN PSYCHIATRIC HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE SHARP LATHAM RPH (DIRECTOR OF PHARMACY)
(803) 935-7154
Entity
Organization
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-7154
(803) 935-5627
Mailing address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-7154
(803) 935-5627
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
50001379
SC
3336L0003X
Long Term Care Pharmacy
Primary
1379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
713792
—
SC
Enumeration date
01/30/2007
Last updated
04/23/2018
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