Organization
PRESBYTERIAN COLLEGE COMMUNITY CARE PHARMACY
Active
Other names
PC Community Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MADDUX (VICE PRESIDENT FOR FINANCE AND ADMI)
(864) 833-8205
Entity
Organization
Contact information
Practice address
307 N BROAD ST, CLINTON, SC 29325-2305
(864) 938-3932
(888) 972-4548
Mailing address
307 N BROAD ST, CLINTON, SC 29325-2305
(864) 938-3932
(888) 972-4548
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
13299
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176213
PK
—
Enumeration date
04/02/2018
Last updated
04/02/2018
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