Provider Demographics
NPI:1326013517
Name:GILDER & WEEKS INC
Entity Type:Organization
Organization Name:GILDER & WEEKS INC
Other - Org Name:GILDER & WEEKS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-697-6580
Mailing Address - Street 1:200 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOANNA
Mailing Address - State:SC
Mailing Address - Zip Code:29351-1030
Mailing Address - Country:US
Mailing Address - Phone:864-697-6580
Mailing Address - Fax:864-697-6233
Practice Address - Street 1:200 N MAIN ST
Practice Address - Street 2:
Practice Address - City:JOANNA
Practice Address - State:SC
Practice Address - Zip Code:29351-1030
Practice Address - Country:US
Practice Address - Phone:864-697-6580
Practice Address - Fax:864-697-6233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
SC5783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4204993OtherNCPDP PROVIDER IDENTIFICATION NUMBER
SC705781Medicaid