Provider Demographics
NPI:1124751862
Name:OASIS PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:OASIS PHARMACY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:803-233-6161
Mailing Address - Street 1:PO BOX 2778
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-2778
Mailing Address - Country:US
Mailing Address - Phone:803-233-6161
Mailing Address - Fax:803-233-1932
Practice Address - Street 1:1173 SUNSET BOULEVARD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-6863
Practice Address - Country:US
Practice Address - Phone:803-233-6161
Practice Address - Fax:803-233-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy