Provider Demographics
NPI:1306467766
Name:LAMAR FAMILY PHARMACY
Entity type:Organization
Organization Name:LAMAR FAMILY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:843-319-5836
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:SC
Mailing Address - Zip Code:29069-0146
Mailing Address - Country:US
Mailing Address - Phone:843-326-5231
Mailing Address - Fax:843-326-5068
Practice Address - Street 1:100 N RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:SC
Practice Address - Zip Code:29069-9726
Practice Address - Country:US
Practice Address - Phone:843-326-5231
Practice Address - Fax:843-326-5068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy