Organization
CHARLESTON RX LLC
Active
Other names
Sweetgrass Pharmacy & Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CALNAN (MANAGING MEMBER)
(864) 212-2967
Entity
Organization
Contact information
Practice address
2498 N PLEASANTBURG DR, SUITE A, GREENVILLE, SC 29609-2730
(864) 236-4350
(864) 236-4360
Mailing address
2498 N PLEASANTBURG DR, SUITE A, GREENVILLE, SC 29609-2730
(843) 212-2967
(864) 752-2253
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15922
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163902
PK
—
Enumeration date
01/16/2015
Last updated
03/09/2017
Update your record
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