Healthcare Provider Details

I. General information

NPI: 1578231379
Provider Name (Legal Business Name): ERIK TURGEON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2021
Last Update Date: 09/06/2021
Certification Date: 09/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 SUNSET BLVD
WEST COLUMBIA SC
29169-4810
US

IV. Provider business mailing address

2720 SUNSET BLVD
WEST COLUMBIA SC
29169-4810
US

V. Phone/Fax

Practice location:
  • Phone: 803-936-7767
  • Fax: 803-936-3136
Mailing address:
  • Phone: 803-936-7767
  • Fax: 803-936-3136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36523
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: