Provider Demographics
NPI:1124300710
Name:GOLEC, AL R (RPH)
Entity type:Individual
Prefix:
First Name:AL
Middle Name:R
Last Name:GOLEC
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 1:1818 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5935
Mailing Address - Country:US
Mailing Address - Phone:864-458-8173
Mailing Address - Fax:864-286-3230
Practice Address - Street 1:1818 WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5935
Practice Address - Country:US
Practice Address - Phone:864-458-8173
Practice Address - Fax:864-286-3230
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist