Provider Demographics
NPI:1154400752
Name:PROPP DRUGS,INC.
Entity type:Organization
Organization Name:PROPP DRUGS,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PROPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-226-8383
Mailing Address - Street 1:1529 N FANT ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4707
Mailing Address - Country:US
Mailing Address - Phone:864-226-8383
Mailing Address - Fax:864-226-8355
Practice Address - Street 1:1529 N FANT ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-4707
Practice Address - Country:US
Practice Address - Phone:864-226-8383
Practice Address - Fax:864-226-8355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0054813336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC726863Medicaid
0592080001OtherPTAN
SCQ409550001OtherPTAN/FLU
SC4202230OtherNABP
SC4202230OtherNABP