State of South Carolina
NPI #1174969935 in Conway, South Carolina
Provider Information
- NPI Number
- 1174969935
- Entity Type
- Organization
- Organization Name
- State of South Carolina
- Primary Specialty
- Pharmacy
- Enumeration Date
- May 20, 2013
- Last Updated
- Jul 23, 2024
Practice Location
- Address
- 1931 INDUSTRIAL PARK RD
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-5482
- Phone
- (843) 915-8820
Authorized Official
- Name
- CAROLINE SOJOURNER, RPH
- Title
- PHARMACY DIRECTOR
- Phone
- (803) 898-0813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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