Provider Demographics
NPI:1295026748
Name:KACHIK, ALAN ANDREW (RPH)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:ANDREW
Last Name:KACHIK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4396 HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29626-5212
Mailing Address - Country:US
Mailing Address - Phone:864-226-2398
Mailing Address - Fax:
Practice Address - Street 1:4396 HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29626-5212
Practice Address - Country:US
Practice Address - Phone:864-226-2398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist