Odom, Joseph Hamilton
Odom, Joseph Hamilton is an sole proprietor health care provider with primary practice located at 1608 Main St , Conway SC 29526-3572. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Odom, Joseph Hamilton can be contacted via phone (843) 248-4700.Contact Information
Primary practice address
1608 Main St
Conway SC 29526-3572
Phone: (843) 248-4700
Fax: (843) 488-6346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 4988 | South Carolina |
Profile Details
| NPI number | 1073518528 |
|---|---|
| LBN Legal business name | Odom, Joseph Hamilton |
| Credentials | R.PH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jun 22nd, 2020 - about 5 years ago |
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 | 1073518528 | NPPES |
| South Carolina | MEDICAID | 717868 |
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