MEDICARE: PAMELA WELLS CAIN 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	5362	SC

General Provider Information

NPI Number	:	1417008723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA WELLS CAIN RPH

Provider Business Mailing Address
First Line	:	211 ROSE LAKE RD
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7667
Country	:	US
Telephone Number	:	803-434-2531
Fax Number	:	803-434-2526

Provider Business Practice Location Address
First Line	:	10 RICHLAND MEDICAL PARK DR
Second Line	:	PALMETTO HEALTH RICHLAND PHARMACY
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6892
Country	:	US
Telephone Number	:	803-434-2531
Fax Number	:	803-434-2526

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	07/08/2007

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Directions to “ PAMELA WELLS CAIN RPH” Practice Location

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