Provider Demographics
NPI:1417008723
Name:CAIN, PAMELA WELLS (RPH)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:WELLS
Last Name:CAIN
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 1:211 ROSE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7667
Mailing Address - Country:US
Mailing Address - Phone:803-434-2531
Mailing Address - Fax:803-434-2526
Practice Address - Street 1:10 RICHLAND MEDICAL PARK DR
Practice Address - Street 2:PALMETTO HEALTH RICHLAND PHARMACY
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6892
Practice Address - Country:US
Practice Address - Phone:803-434-2531
Practice Address - Fax:803-434-2526
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist