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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
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