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
Fax: (864) 877-5171
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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