Kevin Tyler Cox, PHARMD

Individual provider Active NPI Pharmacist · Columbia, SC

NPI 1982181475 · NPPES record last updated Jul 26, 2018

Key facts

NPI
1982181475
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
37823 (SC)
Practice address
4464 Devine St
Columbia, SC 29205-3605
Phone
(803) 738-1108
NPI assigned
Jul 26, 2018
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
Doctor of Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37823 SC Yes

Addresses

Primary practice location

4464 Devine St
Columbia, SC 29205-3605

Mailing address

1100 Ontario Dr
West Columbia, SC 29169-6912
Phone (803) 354-1511

Other providers in Columbia, SC

All providers in Columbia, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.