Provider Demographics
NPI:1598995367
Name:CHILDRENS CARE #2
Entity Type:Organization
Organization Name:CHILDRENS CARE #2
Other - Org Name:T&B INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH,CDM
Authorized Official - Phone:843-395-6020
Mailing Address - Street 1:203 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-3953
Mailing Address - Country:US
Mailing Address - Phone:843-395-6020
Mailing Address - Fax:943-395-2595
Practice Address - Street 1:203 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-3953
Practice Address - Country:US
Practice Address - Phone:843-395-6020
Practice Address - Fax:943-395-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty