Healthcare Provider Details

I. General information

NPI: 1265747356
Provider Name (Legal Business Name): STEVEN FRAZIER PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 08/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 RICHLAND MEDICAL PARK DR
COLUMBIA SC
29203-6863
US

IV. Provider business mailing address

427 PLANTATION POINTE DR
ELGIN SC
29045-8203
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-3040
  • Fax:
Mailing address:
  • Phone: 803-315-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH11495
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: