Organization
CBTP PARTNERS LLC
Active
Other names
WOODRUFF HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES N BAUMGARDNER RPH (CO-OWNER/PHARMACIST)
(864) 316-9689
Entity
Organization
Contact information
Practice address
10195 HIGHWAY 221 STE 5, WOODRUFF, SC 29388-9358
(864) 670-8150
(864) 670-8151
Mailing address
10195 HIGHWAY 221 STE 5, WOODRUFF, SC 29388-9358
(864) 670-8150
(864) 670-8151
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19165
SC PHARMACY PERMIT NUMBER
SC
Enumeration date
10/23/2019
Last updated
10/23/2019
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