Organization
SODA CITY PHARMACY & COMPOUNDING LLC
Active
Other names
Soda City Pharmacy & Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
TREMAIN ODELL COOPER PHARMD (OWNER)
(803) 766-2015
Entity
Organization
Contact information
Practice address
380 SAINT ANDREWS RD, COLUMBIA, SC 29210-4427
(803) 766-2015
(803) 563-5135
Mailing address
380 SAINT ANDREWS RD, COLUMBIA, SC 29210-4427
(803) 766-2015
(803) 563-5135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
03/14/2021
Last updated
03/03/2022
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