MEDICARE: NAOMI DENISE GARNETT RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	6694	SC

General Provider Information

NPI Number	:	1063732766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI DENISE GARNETT RPH

Provider Business Mailing Address
First Line	:	6118 SAINT ANDREWS RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3122
Country	:	US
Telephone Number	:	803-798-4010
Fax Number	:	803-798-3327

Provider Business Practice Location Address
First Line	:	6118 SAINT ANDREWS RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3122
Country	:	US
Telephone Number	:	803-798-4010
Fax Number	:	803-798-3327

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	06/03/2010

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