Organization
GENESIS HEALTHCARE, INC
Active
Parent organization
GENESIS HEALTHCARE, INC
Other names
Professional Pharmacy of Olanta
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS HEALTHCARE, INC
Authorized official
TONY MEGNA (CEO)
(803) 254-3676
Entity
Organization
Contact information
Practice address
211 S JONES RD STE A, OLANTA, SC 29114-9705
(843) 699-2009
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/18/2019
Last updated
05/10/2023
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