Provider Demographics
NPI:1992358865
Name:LANCASTER, BRINDEL OGSTON (PHARMD)
Entity type:Individual
Prefix:
First Name:BRINDEL
Middle Name:OGSTON
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 SWITZER GREEN POND RD
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-9431
Mailing Address - Country:US
Mailing Address - Phone:864-398-7420
Mailing Address - Fax:
Practice Address - Street 1:4600 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-8001
Practice Address - Country:US
Practice Address - Phone:864-814-3643
Practice Address - Fax:864-814-3711
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist