Organization · Type 2 NPI

State of South Carolina

Pharmacy · Conway, SC

NPI number 1174969935 Active

Practice location

1931 Industrial Park Rd
Conway, SC 29526-5482

Call (843) 915-8820 Map

Mailing address

2100 Bull St
Columbia, SC 29201-2104

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	14615 (SC)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

47 other providers at this address

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NPI record

NPI: 1174969935
Entity type: Organization (Type 2)
Issued: May 20, 2013
Last updated: Jul 23, 2024
Status: Active

Other names

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SC Department of Public Health · doing business as
Dhec Pee Dee Region Pharmacy · other name
Scdph Pee Dee Region Pharmacy · other name

Authorized official

Caroline Sojourner, RPH
Pharmacy Director
(803) 898-0813

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174969935

State of South Carolina's National Provider Identifier is 1174969935, issued on May 20, 2013. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Conway, SC. The record was last updated on Jul 23, 2024.