| Sandhills Medical Pharmacy | |
|
40 Baldwin Ave Lugoff SC 29078-9406 | |
| (803) 438-5537 | |
| (803) 438-5546 |
| Full Name | Sandhills Medical Pharmacy |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 40 Baldwin Ave, Lugoff, South Carolina |
| Authorized Official Name and Position | Alyssa L. Norwood (DIRECTOR OF PHARMACY) |
| Authorized Official Contact | 8034385537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Medical Pharmacy 40 Baldwin Ave Lugoff SC 29078-9406 Ph: (803) 438-5537 | Sandhills Medical Pharmacy 40 Baldwin Ave Lugoff SC 29078-9406 Ph: (803) 438-5537 |
| NPI Number | 1538195029 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538195029 | NPI | - | NPPES |
| 784674 | Medicaid | SC | |
| 4226139 | Other | NCPDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (South Carolina) | Primary |
Alice J. Brooks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-438-6023 Fax: 803-438-3671 | |
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