Provider Demographics
NPI:1427570282
Name:KEOWEE FAMILY PHARMACY, LLC
Entity Type:Organization
Organization Name:KEOWEE FAMILY PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:864-719-0050
Mailing Address - Street 1:15740 N HIGHWAY 11 STE 2B
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:SC
Mailing Address - Zip Code:29676-3262
Mailing Address - Country:US
Mailing Address - Phone:864-719-0050
Mailing Address - Fax:
Practice Address - Street 1:15740 N HIGHWAY 11 STE 2B
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:SC
Practice Address - Zip Code:29676-3262
Practice Address - Country:US
Practice Address - Phone:864-934-4899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy