Owen, John W

Owen, John W is an sole proprietor health care provider with primary practice located at 12 Old South Dr , Columbia SC 29209-4803. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Owen, John W can be contacted via phone (803) 783-2979.

Contact Information

Primary practice address
12 Old South Dr Columbia SC 29209-4803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 4301 South Carolina

Profile Details

NPI number 1639223035
LBN Legal business name Owen, John W
Credentials LICENSED PHARMACIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639223035 NPPES
South Carolina Other 4301 STATE LICENSE #

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