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Organization

STATE OF SOUTH CAROLINA

Active
Other names
DHEC Hemophilia-CSHCN Program
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETTY H GARREN (DIRECTOR, THIRD PARTY ADMINISTRATIO)
(803) 898-3720
Entity
Organization

Contact information

Practice address
1751 CALHOUN ST, COLUMBIA, SC 29201-2606
(803) 898-0813
(803) 898-0557
Mailing address
1751 CALHOUN ST, PO BOX 101106, COLUMBIA, SC 29201-2606
(803) 898-0813
(803) 898-0557

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50008287
SC

Other

Enumeration date
05/14/2009
Last updated
05/09/2012
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