Organization
INGATE PROFESSIONAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRECK E. KLEIN RPH (OWNER PRESIDENT)
(803) 648-8330
Entity
Organization
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
005175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4222080
NABP #
SC
05
—
DE1349
—
SC
Enumeration date
12/18/2006
Last updated
08/22/2020
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