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Organization
PLANTATION PHARMACY AT WAPPOO ROAD INC
Active
Organization
PLANTATION PHARMACY AT WAPPOO ROAD INC
Active
Other names
Plantation Pharmacy at Wappo Road Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DAPORE RPH (OWNER/PHARMACIST,AO)
(843) 795-9554
Entity
Organization
Contact information
Practice address
531 WAPPOO RD, CHARLESTON, SC 29407-2223
(843) 556-1994
(843) 556-1991
Mailing address
531 WAPPOO RD, CHARLESTON, SC 29407-2223
(843) 556-1994
(843) 556-1991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
10532
SC
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154588101
—
SC
01
—
2121347
PK
—
05
—
710532
—
SC
Enumeration date
05/19/2008
Last updated
02/27/2017
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