Provider Demographics
NPI:1740599703
Name:TOMPKINS, LARRY DARNELL (RPH)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:DARNELL
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 PADDOCK LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-2338
Mailing Address - Country:US
Mailing Address - Phone:864-223-2842
Mailing Address - Fax:
Practice Address - Street 1:763 HIGHWAY 28 BYPASS
Practice Address - Street 2:FRED'S PHARMACY #1028
Practice Address - City:ABBEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29620
Practice Address - Country:US
Practice Address - Phone:864-366-1124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist