# DELTA OF DANIEL ISLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta of Daniel Island
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528395944
- **Authorized official:** SHERRY PARSONS (MANGER)
- **Authorized official phone:** (843) 761-5255

## Contact information

- **Practice address:** 901 ISLAND PARK DR STE 103, DANIEL ISLAND, SC 29492-8019
- **Practice address phone:** (843) 471-2870
- **Practice address fax:** (800) 456-2788
- **Mailing address:** 402 E MAIN ST, MONCKS CORNER, SC 29461-3616
- **Mailing address phone:** (843) 761-5255
- **Mailing address fax:** (843) 899-4970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 10680 | SC | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 04/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2122631 | PK | — |