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Individual provider Active NPI Pharmacist · Chesnee, SC

NPI 1053661272 · NPPES record last updated Sep 14, 2012

Key facts

NPI
1053661272
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
9545 (SC)
Practice address
109 W Manning St
Chesnee, SC 29323
Phone
(864) 461-9565
Fax
(864) 703-2943
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9545SCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9545 SC Yes

Addresses

Primary practice location

109 W Manning St
Chesnee, SC 29323

Mailing address

265 Horse Creek Rd
Chesnee, SC 29323

Other providers in Chesnee, SC

All providers in Chesnee, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.