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NPI Code Detail

MEDICARE: MR. RICHARD ELLIOTT EUBANKS R.PH

MEDICARE: MR. RICHARD ELLIOTT EUBANKS R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist3868SC

General Provider Information

NPI Number : 1275624496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD ELLIOTT EUBANKS R.PH
Provider Business Mailing Address
First Line : 204 ECHO CIR
Second Line :
City : EASLEY
State : SC
Zip : 29642-3007
Country : US
Telephone Number : 864-859-8581
Fax Number :
Provider Business Practice Location Address
First Line : 200 UNIVERSITY RDG
Second Line : BOX 2507
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-282-4270
Fax Number : 864-282-4372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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