Provider Demographics
NPI:1376327049
Name:EASLEY HEALTH INVESTORS INC
Entity Type:Organization
Organization Name:EASLEY HEALTH INVESTORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:864-810-5161
Mailing Address - Street 1:634 PINE RIDGE DR STE B
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29172-1885
Mailing Address - Country:US
Mailing Address - Phone:803-955-3404
Mailing Address - Fax:
Practice Address - Street 1:5809 CALHOUN MEMORIAL HWY STE A
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3876
Practice Address - Country:US
Practice Address - Phone:864-810-5161
Practice Address - Fax:864-810-5162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy