Healthcare Provider Details

I. General information

NPI: 1871658344
Provider Name (Legal Business Name): ERNEST ELDON ARMSTRONG JR. RPH,CGP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 LEXINGTON AVE
CHAPIN SC
29036-8092
US

IV. Provider business mailing address

419 LEXINGTON AVE
CHAPIN SC
29036-8092
US

V. Phone/Fax

Practice location:
  • Phone: 803-252-7331
  • Fax: 803-345-1815
Mailing address:
  • Phone: 803-252-7331
  • Fax: 803-345-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number3786
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: