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PLANTATION PHARMACY AT WAPPOO ROAD INC

Medical Equipment Supplier Yellow Pages

Charleston, South Carolina

Provider NPI: 1154588101

Organization Information:
Organization Name:  PLANTATION PHARMACY AT WAPPOO ROAD INC


Practice Location:
531 WAPPOO RD  CHARLESTON, SC 29407 US
Tel: 843-556-1994  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
SC10532

Other Provider Identifiers:

IssuerNumberStateType
PK212134701
710532SC05
1154588101SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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