Organization
HAWTHORNE AIKEN PHARMACY INC
Active
Other names
Hawthorne Aiken Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE CASSIDY (VICE-PRESIDENT)
(803) 227-4464
Entity
Organization
Contact information
Practice address
410 UNIVERSITY PKWY STE 2800, AIKEN, SC 29801-6827
(803) 648-2985
(803) 648-0120
Mailing address
210 UNIVERSITY PKWY, AIKEN, SC 29801-6334
(803) 648-2985
(803) 648-0120
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
16457
SC
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159296
PK
—
05
—
716457
—
SC
Enumeration date
03/21/2016
Last updated
04/01/2020
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