Healthcare Provider Details

I. General information

NPI: 1134050941
Provider Name (Legal Business Name): BRICE LANEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MCCLENNAN BANKS DR
CHARLESTON SC
29401-1164
US

IV. Provider business mailing address

200 BAYFRONT DR UNIT 320
MOUNT PLEASANT SC
29464-1840
US

V. Phone/Fax

Practice location:
  • Phone: 843-985-2212
  • Fax:
Mailing address:
  • Phone: 803-460-3503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number48328
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: