| NPI | 1649961434 |
|---|---|
| Doing Business As | REGENESIS HEALTH CARE PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | LASHANN LONG Credential Manager 864-504-3628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |