Provider Demographics
NPI:1568503043
Name:FURMANEK, DOUGLAS LAWRENCE (PHARMD BCPS)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:LAWRENCE
Last Name:FURMANEK
Suffix:
Gender:M
Credentials:PHARMD BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 MINERAL CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-5666
Mailing Address - Country:US
Mailing Address - Phone:864-234-5773
Mailing Address - Fax:
Practice Address - Street 1:801 GROVE ROAD
Practice Address - Street 2:GREENVILLE HOSPITAL SYSTEM UNIVERSITY MEDICAL CENTER
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605
Practice Address - Country:US
Practice Address - Phone:864-455-4912
Practice Address - Fax:864-455-1637
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0105151835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy