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NPI Code Detail

MEDICARE: POWDERSVILLE PHARMACY, PA

MEDICARE: POWDERSVILLE PHARMACY, PA
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
13336C0003XCommunity/Retail Pharmacy1478SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932118411
Entity Type Code : Organization
Provider Name (Legal Business Name) : POWDERSVILLE PHARMACY, PA
Provider Business Mailing Address
First Line : 10701 ANDERSON RD
Second Line :
City : EASLEY
State : SC
Zip : 29642-9309
Country : US
Telephone Number : 864-295-2503
Fax Number : 864-295-2868
Provider Business Practice Location Address
First Line : 10701 ANDERSON RD
Second Line :
City : EASLEY
State : SC
Zip : 29642-9309
Country : US
Telephone Number : 864-295-2503
Fax Number : 864-295-2868
Authorized Official
Title or Position : PHARMACIST/OWNER
Name : MR. GARLAND DELMA SENTELL
Credential : R.PH
Telephone Number : 864-295-2503
Provider Enumeration Date : 08/05/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1558364109 — BEN WILLIAM WILSON JR. MD
Practice Location Address:
10701 ANDERSON RD
EASLEY, SC
29642-9309
Practice Phone: 864-295-2500
Practice Fax:
1689612152 — MS. KARLA LURELL LESTER PA-C
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1891722666 — ST FRANCIS PHYSICIAN SERVICES INC
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1629164942 — DR. WILLIAM S KOCH M.D.
Practice Location Address:
10701 ANDERSON RD
EASLEY, SC
29642-9309
Practice Phone: 864-295-2500
Practice Fax: 864-295-2506
1053407361 — DR. LOUIS B MATHIS JR. M.D.
Practice Location Address:
10701 ANDERSON RD
EASLEY, SC
29642-9309
Practice Phone: 864-295-2500
Practice Fax: 864-295-2506
1770679003 — DR. DAVID A JUNKER M.D.
Practice Location Address:
10701 ANDERSON RD
EASLEY, SC
29642-9309
Practice Phone: 864-295-2500
Practice Fax: 864-295-2506

Directions to “POWDERSVILLE PHARMACY, PA ” Practice Location

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