Provider Demographics
NPI:1033267695
Name:T & B INC
Entity Type:Organization
Organization Name:T & B INC
Other - Org Name:DARLINGTON FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:843-395-6020
Mailing Address - Street 1:203 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-3953
Mailing Address - Country:US
Mailing Address - Phone:843-395-6020
Mailing Address - Fax:843-395-2595
Practice Address - Street 1:203 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-3953
Practice Address - Country:US
Practice Address - Phone:843-395-6020
Practice Address - Fax:843-395-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
SC500044433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4221610OtherNCPDP
SC744430Medicaid
SC1227410001Medicare NSC