Provider Demographics
NPI:1548463037
Name:MAXWELL AND HALFORD DRUG INC
Entity type:Organization
Organization Name:MAXWELL AND HALFORD DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-275-2021
Mailing Address - Street 1:432 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:SC
Mailing Address - Zip Code:29832-1317
Mailing Address - Country:US
Mailing Address - Phone:803-275-2021
Mailing Address - Fax:
Practice Address - Street 1:432 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:SC
Practice Address - Zip Code:29832-1317
Practice Address - Country:US
Practice Address - Phone:803-275-2021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC500068723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDME344Medicaid
SCDME344Medicaid