NPI 1043635709

Costco

Organisation Public Health or Welfare Agency Greenville, SC

Practice location

Address: 1021 Woodruff Rd, Greenville, SC 29607-4108
Phone: (864) 297-2569

Authorised official

Name: Patrick Mains
Title: Pharmacy Manager
Phone: (864) 297-2569

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 14212 (SC)

Other Public Health or Welfare providers in South Carolina →

Registry record

NPI: 1043635709
Entity type: Organization
NPI issued: 4 Mar 2014
Record last updated: 4 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.