Organization
PATTON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STEPHEN PATTON (OWNER)
(864) 476-2111
Entity
Organization
Contact information
Practice address
345 S MAIN ST, WOODRUFF, SC 29388-1867
(864) 476-2111
(864) 476-6012
Mailing address
345 S MAIN ST, WOODRUFF, SC 29388-1867
(864) 476-2111
(864) 476-6012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4207228
NAPB
SC
01
—
42149674
STATE TAX ID
SC
05
—
607659
—
SC
Enumeration date
02/12/2007
Last updated
07/21/2022
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