Organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Active
Other names
SRHS Pharmacy Physician Center - Spartanburg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GENTILCORE PHARMD (OPERATIONS MANAGER RETAIL PHARMACY)
(864) 560-9212
Entity
Organization
Contact information
Practice address
100 E WOOD ST STE 101, SPARTANBURG, SC 29303-3001
(864) 560-6772
(864) 560-7026
Mailing address
100 E WOOD ST STE 101, SPARTANBURG, SC 29303-3001
(864) 560-6772
(864) 560-7026
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13640
SC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13640
SC BOARD OF PHARMACY
SC
01
—
2132261
PK
—
05
—
713640
—
SC
Enumeration date
01/03/2012
Last updated
06/07/2022
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