Provider Demographics
NPI:1962679308
Name:SANDLAPPER CONSULTANT PHARMACISTS
Entity Type:Organization
Organization Name:SANDLAPPER CONSULTANT PHARMACISTS
Other - Org Name:THE MEDICATION CHECKUP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:ELDON
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH, CGP
Authorized Official - Phone:803-252-7331
Mailing Address - Street 1:419 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-8092
Mailing Address - Country:US
Mailing Address - Phone:803-252-7331
Mailing Address - Fax:803-345-1815
Practice Address - Street 1:419 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-8092
Practice Address - Country:US
Practice Address - Phone:803-252-7331
Practice Address - Fax:803-345-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC50004887261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC50004887OtherSTATE PERMIT NUMBER