Provider Demographics
NPI:1205569522
Name:FAULKNER, BRITTANY DIANE (PHARMD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DIANE
Last Name:FAULKNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3470 PAGELAND HWY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-7250
Mailing Address - Country:US
Mailing Address - Phone:803-577-0128
Mailing Address - Fax:
Practice Address - Street 1:800 W MEETING ST RM 1
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2202
Practice Address - Country:US
Practice Address - Phone:803-286-1781
Practice Address - Fax:843-685-9806
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31375183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist