Healthcare Provider Details

I. General information

NPI: 1629136858
Provider Name (Legal Business Name): WEST END DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 N GREENWOOD AVE
WARE SHOALS SC
29692
US

IV. Provider business mailing address

PO BOX 479
WARE SHOALS SC
29692-0479
US

V. Phone/Fax

Practice location:
  • Phone: 864-456-7512
  • Fax: 864-456-2858
Mailing address:
  • Phone: 864-456-7512
  • Fax: 864-456-2858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number002449
License Number StateSC

VIII. Authorized Official

Name: DR. BOYCE P LANCASTER JR.
Title or Position: OWNER
Credential:
Phone: 864-456-7512