Organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Active
Other names
SRHS Pharmacy - Pelham
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GENTILCORE PHARMD (OPERATIONS MGR - RETAIL PHARMACY)
(864) 560-9212
Entity
Organization
Contact information
Practice address
2759 S HIGHWAY 14, GREER, SC 29650-4926
(864) 530-6460
Mailing address
100 E WOOD ST STE 103, SPARTANBURG, SC 29303-3001
(864) 560-9212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19339
SOUTH CAROLINA BOARD OF PHARMACY
SC
05
—
7Z1072
—
SC
Enumeration date
02/26/2020
Last updated
06/07/2022
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