# CHARLESTON ENT ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charleston ENT Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669742144
- **Authorized official:** JAMES VECCHIOLLA (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (843) 793-6402

## Contact information

- **Practice address:** 2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
- **Practice address phone:** (843) 793-6402
- **Practice address fax:** (866) 227-6107
- **Mailing address:** 2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
- **Mailing address phone:** (843) 793-6402
- **Mailing address fax:** (866) 227-6107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 13762 | SC | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 04/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2133463 | PK | — |