Healthcare Provider Details

I. General information

NPI: 1700324100
Provider Name (Legal Business Name): WELCOME PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 WHITE HORSE RD STE F
GREENVILLE SC
29611-5947
US

IV. Provider business mailing address

12 WHITETHORN LN
GREENVILLE SC
29607-5676
US

V. Phone/Fax

Practice location:
  • Phone: 864-671-0300
  • Fax: 864-671-0301
Mailing address:
  • Phone: 864-671-0300
  • Fax: 864-671-0301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number17094
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SAMIR PATEL
Title or Position: PHARMACY MANAGER
Credential:
Phone: 864-671-0300