Healthcare Provider Details

I. General information

NPI: 1265415517
Provider Name (Legal Business Name): PAULA JAGINA HOWARD RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 MEMORIAL DRIVE EXTENSION PROFESSIONAL PHARMACY AT MT VIEW INC
GREER SC
29651
US

IV. Provider business mailing address

3 LAUREN LEIGH COURT
GREER SC
29651
US

V. Phone/Fax

Practice location:
  • Phone: 864-877-4281
  • Fax: 864-877-4077
Mailing address:
  • Phone: 864-968-8970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8833
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: