Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Other names
HF Mabry Cancer Center, MUSC Health-Orangeburg, MUSC Health - HF Mabry Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA A SOMMERS WILSON (CORPORATE DIRECTOR)
(843) 792-7810
Entity
Organization
Contact information
Practice address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-2730
(803) 395-2731
Mailing address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-2730
(803) 395-2731
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21182
STATE PHARMACY LICENSE
SC
05
—
7Z1258
—
SC
Enumeration date
01/26/2010
Last updated
09/06/2023
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