Provider Demographics
NPI:1396024345
Name:CHAPMAN, CAREY
Entity Type:Individual
Prefix:MR
First Name:CAREY
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528A RICE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-1839
Mailing Address - Country:US
Mailing Address - Phone:864-427-3700
Mailing Address - Fax:864-427-3900
Practice Address - Street 1:528A RICE AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-1839
Practice Address - Country:US
Practice Address - Phone:864-427-3700
Practice Address - Fax:864-427-3900
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5356183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist