Stephanie C Brown, RPH

Individual provider Active NPI Pharmacist · Ehrhardt, SC

NPI 1922566009 · NPPES record last updated Mar 7, 2019

Key facts

NPI
1922566009
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
8273 (SC)
Practice address
12930 Broxton Bridge Road
Ehrhardt, SC 29081
Phone
(803) 267-2121
Fax
(803) 267-2124
NPI assigned
Mar 7, 2019
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
8273SCMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8273 SC Yes

Addresses

Primary practice location

12930 Broxton Bridge Road
Ehrhardt, SC 29081

Mailing address

1263 Kearse Rd
Ehrhardt, SC 29081-9139
Phone (803) 682-1332

Other providers in Ehrhardt, SC

All providers in Ehrhardt, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.