| NPI | 1508903394 |
|---|---|
| Doing Business As | ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC. |
| Entity Type | Organization |
| Authorized Contact | JAMIE SHANNON LEE Chief Financial Officer 864-614-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: SC 3129) |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-11-03 |