Marie Annette Elam
Individual provider Active NPI Pharmacist · Woodruff, SC
NPI 1053482893 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053482893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10303 (SC)
- Practice address
- 345 S Main St
Woodruff, SC 29388-1867 - Phone
- (864) 476-2111
- Fax
- (864) 476-6012
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10303 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patton Pharmacy, Inc. | Past | Accepting new patients | |
| Patton Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10303 | SC | Yes |
Addresses
Primary practice location
345 S Main St
Woodruff, SC 29388-1867
Mailing address
4 Yardley CT
Simpsonville, SC 29681-4467
Phone (864) 967-7527
Other providers in Woodruff, SC
- Dialysis Clinic Inc
- Matthew Robert Dickson
- Brittany Rose Ducos
- Cheryl Ducos
- Victoria Eastland
- Joy Eubanks
- Lauren Elizabeth Facchine
- Erica Paige Sumner Fain
- Jessica Florez
- Kirsten Freeman
All providers in Woodruff, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.