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Organization
PALMETTO CUSTOM COMPOUNDING
Active
Organization
PALMETTO CUSTOM COMPOUNDING
Active
Other names
Prescription Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD MEL RAUTON JR. R.PH. (OWNER/PHARMACIST)
(843) 723-5343
Entity
Organization
Contact information
Practice address
107 RUTLEDGE AVE, CHARLESTON, SC 29401-1332
(843) 723-5343
(843) 723-5344
Mailing address
107 RUTLEDGE AVE, CHARLESTON, SC 29401-1332
(843) 723-5343
(843) 723-5344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010268
PHARMACY PERMIT
SC
Enumeration date
01/22/2009
Last updated
01/22/2009
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