Provider Demographics
NPI:1699212712
Name:WHOLE HEALTH FAMILY PHARMACY
Entity Type:Organization
Organization Name:WHOLE HEALTH FAMILY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOULGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-412-4706
Mailing Address - Street 1:4654 ARCHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MEGGETT
Mailing Address - State:SC
Mailing Address - Zip Code:29449-6186
Mailing Address - Country:US
Mailing Address - Phone:843-412-4706
Mailing Address - Fax:
Practice Address - Street 1:4654 ARCHFIELD AVE
Practice Address - Street 2:
Practice Address - City:MEGGETT
Practice Address - State:SC
Practice Address - Zip Code:29449-6186
Practice Address - Country:US
Practice Address - Phone:843-412-4706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1701040142333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy