| NPI | 1316135999 |
|---|---|
| Doing Business As | SELF REGIONAL HEALTHCARE OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 15929) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-12-14 |