| Organization Name: | JACK P. PADGETT JR. |
| NPI Number: | 1851474100 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK PERSHING PADGETT (PHARMACIST) |
| Mailing Address: | 540 North St Bamberg |
| State: | SC US |
| Postal Code: | 290031319 |
| Phone Number: | 8032454298 |
| Fax Number: | 8032451232 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 5001664 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |