Provider Demographics
NPI:1962975888
Name:POWDERSVILLE FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:POWDERSVILLE FAMILY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHAVIK
Authorized Official - Middle Name:KANTIBHAI
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:864-373-9229
Mailing Address - Street 1:PO BOX 51406
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-2019
Mailing Address - Country:US
Mailing Address - Phone:864-373-9229
Mailing Address - Fax:
Practice Address - Street 1:11061 ANDERSON ROAD
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673
Practice Address - Country:US
Practice Address - Phone:864-373-9229
Practice Address - Fax:864-751-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy