NPI 1043962244

Edward Sidorov, PHARMD

Practitioner Pharmacist Greenwood, SC

Practice location

Address: 1942 Montague Avenue Ext, Greenwood, SC 29649-9045
Phone: (864) 223-7679
Mailing address: 161 Henry Cullins Rd, Anderson, SC 29621-5016

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 43326 (SC)

Other Pharmacist providers in South Carolina →

Registry record

NPI: 1043962244
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2022
Record last updated: 19 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.