MEDICARE: ANDREW DEAN BADI R.PH.

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	16678	NE
2	183500000X	Pharmacist	19401	OK
3	183500000X	Pharmacist	RPH-0016630	OR
4	183500000X	Pharmacist	41820	TN
5	183500000X	Pharmacist	5302046283	MI
6	183500000X	Pharmacist	28453	NC
7	183500000X	Pharmacist	1-107212	KS
8	183500000X	Pharmacist	PIC.022950	LA
9	183500000X	Pharmacist	T-16211	MS
10	183500000X	Pharmacist	26970	MD
11	183500000X	Pharmacist	61963	TX
12	183500000X	Pharmacist	20251	AL
13	183500000X	Pharmacist	202216894	VA
14	183500000X	Pharmacist	040624	NY
15	183500000X	Pharmacist	13539	SC

General Provider Information

NPI Number	:	1215155783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW DEAN BADI R.PH.

Provider Business Mailing Address
First Line	:	2000 MAIN ST
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29526-3335
Country	:	US
Telephone Number	:	843-488-4400
Fax Number	:	800-881-4793

Provider Business Practice Location Address
First Line	:	2000 MAIN ST
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29526-3335
Country	:	US
Telephone Number	:	843-488-4400
Fax Number	:	800-881-4793

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	06/12/2025

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Directions to “ ANDREW DEAN BADI R.PH.” Practice Location

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