Organization
ANDERSON FREE CLINIC
Active
Other names
ANDERSON FREE CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THORNDYKE (DIRECTOR OF PHARMACY)
(864) 512-7814
Entity
Organization
Contact information
Practice address
414 N FANT ST, ANDERSON, SC 29621-5716
(864) 226-1294
(864) 261-4543
Mailing address
PO BOX 728, ANDERSON, SC 29622-0728
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
1937
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090807
PK
—
Enumeration date
11/24/2014
Last updated
11/24/2014
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