# DETYENS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DETYENS MEDICAL CENTER
- **Other names:** Detyens Medical Center Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134720535
- **Legal business name:** DETYENS MEDICAL CENTER
- **Authorized official:** MRS. DEBRA LYNN GASKINS RPH (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (843) 747-3284

## Contact information

- **Practice address:** 1670 DRYDOCK AVENUE, BUILDING 10, SUITE A, NORTH CHARLESTON, SC 29405
- **Practice address phone:** (843) 747-3284
- **Practice address fax:** (843) 308-6570
- **Mailing address:** 1670 DRYDOCK AVENUE, BUILDING 10, SUITE A, NORTH CHARLESTON, SC 29405
- **Mailing address phone:** (843) 747-3284
- **Mailing address fax:** (843) 308-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2020
- **Last updated:** 11/03/2020