Organization
BANKS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH JAMES MATTHEWS R.PH. (PHARMACIST-IN-CHARGE)
(706) 869-9799
Entity
Organization
Contact information
Practice address
100 RIDGE MEDICAL PLAZA, SUITE 101, EDGEFIELD, SC 29824
(803) 637-5757
(803) 637-9996
Mailing address
100 RIDGE MEDICAL PLAZA, SUITE 101, EDGEFIELD, SC 29824
(803) 637-5757
(803) 637-9996
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797882
—
SC
Enumeration date
11/26/2007
Last updated
05/02/2022
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