Provider Demographics
NPI:1558453274
Name:TERRELL, ERIC S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:S
Last Name:TERRELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 TANGLEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5579
Mailing Address - Country:US
Mailing Address - Phone:843-413-1261
Mailing Address - Fax:843-667-9964
Practice Address - Street 1:804 2ND LOOP RD
Practice Address - Street 2:SUITE E
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-2825
Practice Address - Country:US
Practice Address - Phone:843-665-0289
Practice Address - Fax:843-667-9964
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist