Healthcare Provider Details

I. General information

NPI: 1992358865
Provider Name (Legal Business Name): BRINDEL OGSTON LANCASTER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HIGHWAY 9
INMAN SC
29349-8001
US

IV. Provider business mailing address

710 SWITZER GREEN POND RD
WOODRUFF SC
29388-9431
US

V. Phone/Fax

Practice location:
  • Phone: 864-814-3643
  • Fax: 864-814-3711
Mailing address:
  • Phone: 864-398-7420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42109
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: