# HEROLDS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Herold's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366774408
- **Authorized official:** MARY WISE (OWNER, PHARMACIST IN CHARGE)
- **Authorized official phone:** (843) 754-8867

## Contact information

- **Practice address:** 2057 CHARLIE HALL BLVD STE C, CHARLESTON, SC 29414-6164
- **Practice address phone:** (843) 637-3037
- **Practice address fax:** (866) 728-6778
- **Mailing address:** 2057 CHARLIE HALL BLVD STE C, CHARLESTON, SC 29414-6164
- **Mailing address phone:** (843) 637-3037
- **Mailing address fax:** (866) 728-6778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10956 | SC | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2010
- **Last updated:** 02/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4229539 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 710956 | — | SC |