Individual
MR. BRECK E KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 LAURENS ST NW, AIKEN, SC 29801-3916
(803) 648-8330
(803) 648-8343
Mailing address
400 LAURENS ST NW, AIKEN, SC 29801-3916
(803) 648-8330
(803) 648-8343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861442519
NPI
—
01
—
4222080
NABP
SC
05
—
744827
—
SC
01
—
DE1349
MEDICAID DME
—
Enumeration date
03/06/2012
Last updated
03/06/2012
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