Healthcare Provider Details

I. General information

NPI: 1861307985
Provider Name (Legal Business Name): ROBERT CONNOR OWENS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 CEDAR RD STE B
LEXINGTON SC
29073-8869
US

IV. Provider business mailing address

600 CANALSIDE ST UNIT 4014
COLUMBIA SC
29201-6049
US

V. Phone/Fax

Practice location:
  • Phone: 803-217-1088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60750
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: