Organization
OM SAI RX LLC.
Active
Other names
Tega Cay Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PADMAVATHI DITTAKAVI (PRESIDENT)
(803) 547-6100
Entity
Organization
Contact information
Practice address
1741 GOLD HILL RD, SUITE 106, FORT MILL, SC 29708
(803) 547-6100
(803) 547-7720
Mailing address
1741 GOLD HILL RD, SUITE 106, FORT MILL, SC 29708
(803) 547-6100
(803) 547-7720
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797985
—
SC
Enumeration date
08/18/2006
Last updated
05/15/2024
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