Organization
KERSHAWHEALTH
Active
Other names
KERSHAWHEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE J WEEKS (CEO)
(803) 713-6227
Entity
Organization
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 713-6376
Mailing address
PO BOX 7003, CAMDEN, SC 29020-7003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50001469
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714694
—
SC
Enumeration date
11/16/2006
Last updated
09/23/2009
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