Individual provider · NPI-1

Dr. Benjamin Breitbach, PharmD

Pharmacist · West Columbia, SC

NPI number1750708616
StatusActive
Last updated in NPPESMar 27, 2014

Details

NPI
1750708616
Entity type
Individual (NPI-1)
Name
Dr. Benjamin Breitbach
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2014
Last updated
Mar 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist14104SCYes

Practice location

2401 Augusta Rd
West Columbia, SC 29169-4543

Phone 803-791-8114

Mailing address

2401 Augusta Rd
West Columbia, SC 29169-4543

Phone 803-791-8114

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