Healthcare Provider Details
I. General information
NPI: 1821263146
Provider Name (Legal Business Name): CASH AND HENDERSON DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2008
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 S ALABAMA AVE
CHESNEE SC
29323-1502
US
IV. Provider business mailing address
102 S ALABAMA AVE
CHESNEE SC
29323-1502
US
V. Phone/Fax
- Phone: 864-461-2314
- Fax: 864-461-5384
- Phone: 864-461-2314
- Fax: 864-461-5384
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 50-001011 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 50-001011 |
| License Number State | SC |
VIII. Authorized Official
Name: MR.
MICHAEL
E
PARRIS
Title or Position: CHIEF OPERATING OFFICER
Credential: CPHT
Phone: 864-461-2314