Healthcare Provider Details

I. General information

NPI: 1841972031
Provider Name (Legal Business Name): NATHAN I EFIRD PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023
Certification Date: 08/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S MAIN ST
DARLINGTON SC
29532-3953
US

IV. Provider business mailing address

1336 COTTINGHAM RD
FLORENCE SC
29505-2643
US

V. Phone/Fax

Practice location:
  • Phone: 843-395-6020
  • Fax: 843-395-2595
Mailing address:
  • Phone: 843-496-1294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36201
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: