Provider Demographics
NPI:1790981173
Name:CLINKSCALES DRUGS INC.
Entity Type:Organization
Organization Name:CLINKSCALES DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:CARWILE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:864-338-3900
Mailing Address - Street 1:727 ANDERSON ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BELTON
Mailing Address - State:SC
Mailing Address - Zip Code:29627-2100
Mailing Address - Country:US
Mailing Address - Phone:864-338-8217
Mailing Address - Fax:864-338-6935
Practice Address - Street 1:727 ANDERSON ST
Practice Address - Street 2:SUITE C
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-2100
Practice Address - Country:US
Practice Address - Phone:864-338-8217
Practice Address - Fax:864-338-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65004967332BX2000X
SC65683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC542979Medicaid
SC542979Medicaid