Organization Name: | FAMILY HEALTH CENTER PHARMACY |
NPI Number: | 1043394315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTHUR KOBINA KENNEDY (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 3310 Magnolia St Orangeburg |
State: | SC US |
Postal Code: | 291151466 |
Phone Number: | 8035316900 |
Fax Number: | 8035316907 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 50001789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |