OrganizationActive
South Carolina Department of Mental Health
NPI 1043365703 · Long Term Care Pharmacy · Columbia, SC
Provider details
- NPI number
- 1043365703
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- South Carolina Department of Mental Health
- Authorized official
- Kimberly Rudd, Director of Professional Services
- License
- 50-001783 (SC)
Practice location
2200 Harden St.
Columbia, SC 29203-7107
Phone: (803) 737-5339
Fax: (803) 737-5436
Mailing address
2200 Harden St.
Columbia, SC 29203-7107
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2011-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.