Organization
SANDHILLS MEDICAL FOUNDATION, INC.
Active
Other names
JEFFERSON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA NORWOOD PHARMD (DIRECTOR OF PHARMACY)
(803) 438-5537
Entity
Organization
Contact information
Practice address
409 E CHURCH ST, JEFFERSON, SC 29718-8701
(843) 658-3006
(843) 658-7811
Mailing address
409 E CHURCH ST, JEFFERSON, SC 29718-8701
(843) 658-3006
(843) 658-7811
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10706
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123401
PK
—
05
—
710706
—
SC
Enumeration date
01/20/2010
Last updated
06/06/2016
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