Casey P Holsomback
Individual provider Active NPI Pharmacist · Batesburg, SC
NPI 1376840702 · NPPES record last updated Feb 21, 2011
Key facts
- NPI
- 1376840702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10640 (SC)
- Practice address
- 127 W Columbia Ave
Batesburg, SC 29006-2124 - Phone
- (803) 532-2586
- Fax
- (803) 532-6644
- NPI assigned
- Feb 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 10640 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10640 | SC | Yes |
Addresses
Primary practice location
127 W Columbia Ave
Batesburg, SC 29006-2124
Mailing address
127 W Columbia Ave
Batesburg, SC 29006-2124
Phone (803) 532-2586
Other providers in Batesburg, SC
- Bob R Grandy
- Ann Hall
- Erin Mathias Hallman
- Healthstat Wellness Amick Farms Batesburg
- Carolyn Ann Henderson
- Olin Bradford Hutto
- Integrative Chiropractic, LLC
- Laura G Walls Family Dentistry
- Dana C Lybrand
- Ashley Eubanks McCain
All providers in Batesburg, 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 Feb 21, 2011. 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.