Mr Averitte Burney Pace Jr, PHARMACY BS is a
Pharmacist based in Nichols, South Carolina. Mr Averitte Burney Pace Jr is licensed to practice in South Carolina (license number 3526) and his current practice location is
116 S Main St, Nichols, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 526-2171.
NPI number for Mr Averitte Burney Pace Jr is 1063787547 and his current mailing address is Po Box 207, 401 South Nichols Street, Nichols, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063787547.
Healthcare Provider's Profile
| Full Name | Mr Averitte Burney Pace Jr |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
|---|
| Location | 116 S Main St, Nichols, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063787547
- Provider Enumeration Date: 03/15/2012
- Last Update Date: 03/15/2012
Medical Identifiers
Medical identifiers for Mr Averitte Burney Pace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063787547 | NPI | - | NPPES |
| 3526 | Other | SC | PHARMACIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 3526 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Averitte Burney Pace Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Averitte Burney Pace Jr, PHARMACY BS
Po Box 207, 401 South Nichols Street,
Nichols, SC 29581-0207
Ph: (843) 526-2257 | Mr Averitte Burney Pace Jr, PHARMACY BS
116 S Main St,
Nichols, SC 29581-0207
Ph: (843) 526-2171 |
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