Srhs Pharmacy Physician Center - Spartanburg

LBN: Spartanburg Regional Health Services District, Inc.
Srhs Pharmacy Physician Center - Spartanburg is an health care organization with primary practice located at 100 E Wood St Ste 101 , Spartanburg SC 29303-3001. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Spartanburg Regional Health Services District, Inc. can be contacted via phone (864) 560-6772, or through Gentilcore, Timothy via phone (864) 560-9212.

Contact Information

Primary practice address
100 E Wood St Ste 101 Spartanburg SC 29303-3001
Phone: (864) 560-6772
Fax: (864) 560-7026
Website:
Map and Directions
Authorized official contact:
Name: Gentilcore, Timothy PHARMD
Phone: (864) 560-9212

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13640 South Carolina
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1982974390
LBN Legal business name Spartanburg Regional Health Services District, Inc.
DBA Doing business as Srhs Pharmacy Physician Center - Spartanburg
Authorized official Gentilcore, Timothy PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2012
Last updated Jun 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982974390 NPPES
South Carolina Other 13640 SC BOARD OF PHARMACY
South Carolina Other 2132261 SC BOARD OF PHARMACY
South Carolina MEDICAID 713640 SC BOARD OF PHARMACY

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