Healthcare Provider Details

I. General information

NPI: 1134185838
Provider Name (Legal Business Name): BANKS DRUG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 E MAIN ST
RIDGE SPRING SC
29129-9139
US

IV. Provider business mailing address

PO BOX 308
RIDGE SPRING SC
29129-0308
US

V. Phone/Fax

Practice location:
  • Phone: 803-685-5326
  • Fax: 803-685-5442
Mailing address:
  • Phone: 803-685-5326
  • Fax: 803-685-5442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50002486
License Number StateSC

VIII. Authorized Official

Name: LEE CARTER BANKS
Title or Position: PIC
Credential:
Phone: 803-685-5326