Provider Demographics
NPI:1467747402
Name:TOGETHER PHARMACY LLC
Entity Type:Organization
Organization Name:TOGETHER PHARMACY LLC
Other - Org Name:TOGETHER PHARMACY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-622-8881
Mailing Address - Street 1:3191 LANCASTER HWY
Mailing Address - Street 2:SUITE H
Mailing Address - City:RICHBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29729-9238
Mailing Address - Country:US
Mailing Address - Phone:803-789-6732
Mailing Address - Fax:803-789-6733
Practice Address - Street 1:3191 LANCASTER HWY STE H
Practice Address - Street 2:
Practice Address - City:RICHBURG
Practice Address - State:SC
Practice Address - Zip Code:29729-9238
Practice Address - Country:US
Practice Address - Phone:803-789-6732
Practice Address - Fax:803-789-6733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
SC132633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4230304OtherNCPDP PROVIDER IDENTIFICATION NUMBER