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Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Other names
Charleston ENT Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VECCHIOLLA (DIRECTOR OF PHARMACY)
(843) 793-6402
Entity
Organization
Contact information
Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 793-6402
(866) 227-6107
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 793-6402
(866) 227-6107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
13762
SC
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133463
PK
—
Enumeration date
12/30/2011
Last updated
04/25/2016
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