Organization
JACK P. PADGETT JR.
Active
Other names
PADGETT'S DRIVE IN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACK PERSHING PADGETT JR. RPH (PHARMACIST)
(803) 245-4298
Entity
Organization
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
332B00000X
Durable Medical Equipment & Medical Supplies
5001664
SC
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4202329
OTHER ID NUMBER
—
05
—
716647
—
SC
Enumeration date
10/23/2006
Last updated
12/12/2012
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