Healthcare Provider Details

I. General information

NPI: 1720031065
Provider Name (Legal Business Name): DAVID P VALENTINE MS, CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 ENTERPRISE BLVD. SUITE 200 - DEPARTMENT OF PHARMACY
GREENVILLE SC
29615-6300
US

IV. Provider business mailing address

255 ENTERPRISE BLVD. SUITE 200 - DEPARTMENT OF PHARMACY
GREENVILLE SC
29615-6300
US

V. Phone/Fax

Practice location:
  • Phone: 864-454-2527
  • Fax:
Mailing address:
  • Phone: 864-454-2527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: