Provider Demographics
NPI:1538296058
Name:DRECHSLER, KIMBERLY HALLMAN (R PH)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:HALLMAN
Last Name:DRECHSLER
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 ARABIAN FARMS RD
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-8562
Mailing Address - Country:US
Mailing Address - Phone:803-222-2020
Mailing Address - Fax:
Practice Address - Street 1:134 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-1419
Practice Address - Country:US
Practice Address - Phone:803-222-3784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7423183500000X
NC8418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist