Healthcare Provider Details

I. General information

NPI: 1497847214
Provider Name (Legal Business Name): OCONEE APOTHECARIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 05/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N TOWNVILLE ST
SENECA SC
29678-3254
US

IV. Provider business mailing address

115 N TOWNVILLE ST
SENECA SC
29678-3254
US

V. Phone/Fax

Practice location:
  • Phone: 864-882-3301
  • Fax: 864-882-5015
Mailing address:
  • Phone: 864-882-3301
  • Fax: 864-882-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50002232
License Number StateSC

VIII. Authorized Official

Name: JOSEPH MAGAHA
Title or Position: OWNER AND PRESIDENT
Credential: RPH
Phone: 864-882-3301