1215007398 NPI number — PEE DEE FAMILY PHARMACY

Table of content: (NPI 1215007398)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215007398 NPI number — PEE DEE FAMILY PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEE DEE FAMILY PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215007398
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
608 N 4TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DILLON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29536-2502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-841-9003
Provider Business Mailing Address Fax Number:
843-841-9736

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
608 N 4TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DILLON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29536-2502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-841-9003
Provider Business Practice Location Address Fax Number:
843-841-9736
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALTMAR
Authorized Official First Name:
CARL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
843-841-9003

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 10377 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 759794 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4223789 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




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