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Organization

SANDHILLS MEDICAL PHARMACY-2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALYSSA L NORWOOD RPH (DIRECTOR OF PHARMACY)
(803) 438-5537
Entity
Organization

Contact information

Practice address
425 N SALEM AVE, SUMTER, SC 29150-4115
(803) 773-8148
(803) 775-5849
Mailing address
425 N SALEM AVE, SUMTER, SC 29150-4115
(803) 773-8148
(803) 775-5849

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215180591
NPI
01
4228210
NCPDP
Enumeration date
12/17/2008
Last updated
12/17/2008
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