Organization
MEDI FARE DRUG AND HOME HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA BALOGA PHARM D (OWNER PHARMACIST)
(864) 839-6384
Entity
Organization
Contact information
Practice address
300 W PINE ST, BLACKSBURG, SC 29702-1548
(864) 839-6384
(864) 839-3513
Mailing address
300 W PINE ST, BLACKSBURG, SC 29702-1548
(864) 839-6384
(864) 839-3513
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50008084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50008084
PHARMACY PERMIT
SC
05
—
780847
—
SC
Enumeration date
03/21/2007
Last updated
08/22/2020
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