Healthcare Provider Details

I. General information

NPI: 1447918974
Provider Name (Legal Business Name): PRIYANKA PATEL PLUMMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PRIYANKA PATEL

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 PELZER HWY
EASLEY SC
29642-2106
US

IV. Provider business mailing address

104 FOUNTAIN OAK LN
EASLEY SC
29642-1767
US

V. Phone/Fax

Practice location:
  • Phone: 864-855-6856
  • Fax:
Mailing address:
  • Phone: 864-923-3392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43288
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: