1710353578 NPI number — MARGARET SAAM RPH

Table of content: MARGARET SAAM RPH (NPI 1710353578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710353578 NPI number — MARGARET SAAM RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAAM
Provider First Name:
MARGARET
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1710353578
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 BYPASS 25NE
Provider Second Line Business Mailing Address:
ATTN: PHARMACY
Provider Business Mailing Address City Name:
GREENWOOD
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29646
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-321-6029
Provider Business Mailing Address Fax Number:
864-321-6036

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 BYPASS 25 NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENWOOD
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-321-6029
Provider Business Practice Location Address Fax Number:
864-321-6036
Provider Enumeration Date:
08/17/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  35996 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 183500000X , with the licence number: 32414 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 35996 . This is a "SOUTH CAROLINA PHARMACIST LICENSE" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com