Provider Demographics
NPI:1376841304
Name:CASSIDY, APRIL TREVETT (RPH)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:TREVETT
Last Name:CASSIDY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 AUGUSTA RD
Mailing Address - Street 2:WALGREENS PHARMACY
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-4524
Mailing Address - Country:US
Mailing Address - Phone:803-791-3676
Mailing Address - Fax:
Practice Address - Street 1:2224 AUGUSTA RD
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4524
Practice Address - Country:US
Practice Address - Phone:803-791-3676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist