Larkin, Kelly Susan
Larkin, Kelly Susan is an sole proprietor health care provider with primary practice located at 109 N Main St , Greer SC 29650-1921. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Larkin, Kelly Susan can be contacted via phone (864) 877-0753.Contact Information
Primary practice address
109 N Main St
Greer SC 29650-1921
Phone: (864) 877-0753
Fax: (864) 877-5171
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacy Technician | 183700000X | 23882 | South Carolina |
Profile Details
NPI number | 1114072576 |
---|---|
LBN Legal business name | Larkin, Kelly Susan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2007 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114072576 | NPPES |
South Carolina | Other | 10-03095 | SCDHEC-BUREAU OF DRUG CON |
South Carolina | MEDICAID | 730956 | SCDHEC-BUREAU OF DRUG CON |
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