Maan Aziz Kerzzo, RPH
Individual provider Active NPI Pharmacist · Mauldin, SC
NPI 1467908236 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1467908236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35521 (SC)
- Practice address
- 129 West Butler Road
Mauldin, SC 29662 - Phone
- (864) 297-1303
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35521 | SC | Yes |
Addresses
Primary practice location
129 West Butler Road
Mauldin, SC 29662
Mailing address
129 West Butler Road
Mauldin, SC 29662
Phone (864) 297-1303
Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. 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.