Provider Demographics
NPI:1356906903
Name:PHV LLV
Entity type:Organization
Organization Name:PHV LLV
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARZARU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:803-581-1095
Mailing Address - Street 1:1645 J A COCHRAN BYP STE G
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-3102
Mailing Address - Country:US
Mailing Address - Phone:803-581-1095
Mailing Address - Fax:803-845-3724
Practice Address - Street 1:1645 J A COCHRAN BYP STE G
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-3102
Practice Address - Country:US
Practice Address - Phone:803-581-1095
Practice Address - Fax:803-845-3724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy