# PLANTATION PHARMACY AT WAPPOO ROAD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Plantation Pharmacy at Wappo Road Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154588101
- **Authorized official:** DEBORAH DAPORE RPH (OWNER/PHARMACIST,AO)
- **Authorized official phone:** (843) 795-9554

## Contact information

- **Practice address:** 531 WAPPOO RD, CHARLESTON, SC 29407-2223
- **Practice address phone:** (843) 556-1994
- **Practice address fax:** (843) 556-1991
- **Mailing address:** 531 WAPPOO RD, CHARLESTON, SC 29407-2223
- **Mailing address phone:** (843) 556-1994
- **Mailing address fax:** (843) 556-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10532 | SC | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 02/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1154588101 | — | SC |
| 01 | — | 2121347 | PK | — |
| 05 | — | 710532 | — | SC |