Todd, Kermit Randy

Todd, Kermit Randy is an sole proprietor health care provider with primary practice located at 1401 Main St , Conway SC 29526-3568. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Todd, Kermit Randy can be contacted via phone (843) 248-4609.

Contact Information

Primary practice address
1401 Main St Conway SC 29526-3568
Phone: (843) 248-4609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6624 South Carolina

Profile Details

NPI number 1316951320
LBN Legal business name Todd, Kermit Randy
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
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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