Organization
HAWTHORNE PHARMACY SUNSET INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE CASSIDY RPH (VICE-PRESIDENT)
(803) 227-4464
Entity
Organization
Contact information
Practice address
2854 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 794-7990
(803) 739-0893
Mailing address
2854 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 794-7990
(803) 739-0893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50-005845
SC
Other
Enumeration date
08/07/2006
Last updated
04/01/2020
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