Organization
CHOICE PHARMACY AT CELIA SAXON LLC
Active
Other names
CHOICECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MOORER (OWNER)
(803) 361-7706
Entity
Organization
Contact information
Practice address
2012 HARDEN ST, SUITE 102, COLUMBIA, SC 29204-0915
(803) 931-3200
(803) 931-3290
Mailing address
PO BOX 63, EASTWOOD, KY 40018-0063
(803) 361-0788
(803) 931-3290
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50009606
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4227179
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/29/2007
Last updated
09/07/2010
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