Organization
OAKRIDGE COMMUNITY CARE HOME INC
Active
Parent organization
OAKRIDGE COMMUNITY CARE HOME INC
Other names
Oakridge Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKRIDGE COMMUNITY CARE HOME INC
Authorized official
MR. DARRYL ALAN MAST RPH (PHARMACIST)
(864) 708-3477
Entity
Organization
Contact information
Practice address
2470 OLD MILL RD, INMAN, SC 29349-9276
(864) 708-3477
Mailing address
2470 OLD MILL RD, INMAN, SC 29349-9276
(864) 621-4958
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717512
—
SC
Enumeration date
08/06/2016
Last updated
02/07/2020
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