| NPI | 1255777017 |
|---|---|
| Other Name | DHEC UPSTATE REGION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CAROLINE SOJOURNER Pharmacy Director 803-898-0813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 14614) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-07-01 |