Healthcare Provider Details

I. General information

NPI: 1962061341
Provider Name (Legal Business Name): KAITLYN GAINEY HALLIDAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E CEDAR ST
FLORENCE SC
29506-2576
US

IV. Provider business mailing address

121 E CEDAR ST
FLORENCE SC
29506-2576
US

V. Phone/Fax

Practice location:
  • Phone: 843-629-6941
  • Fax:
Mailing address:
  • Phone: 843-629-6941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41954
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: