Individual
MR. JACK PERSHING PADGETT JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
BS, RPH
Contact information
Practice address
540 NORTH ST, BAMBERG, SC 29003-1319
(803) 245-4298
(803) 245-1232
Mailing address
540 NORTH ST, BAMBERG, SC 29003-1319
(803) 245-4298
(803) 245-1232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4186
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4202329
NABP
—
05
—
716647
—
SC
01
—
DE1340
DME MEDICAID
SC
Enumeration date
09/21/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us