# CROCODILE PHARMACY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CROCODILE PHARMACY SERVICES, LLC
- **Other names:** CP-Blythewood
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780217208
- **Legal business name:** CROCODILE PHARMACY SERVICES, LLC
- **Authorized official:** DR. PAUL PLANTE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (803) 730-1500

## Contact information

- **Practice address:** 738 UNIVERSITY VILLAGE DR, BLYTHEWOOD, SC 29016-7611
- **Practice address phone:** (480) 235-7788
- **Mailing address:** 9005 TWO NOTCH RD, STE 40, COLUMBIA, SC 29223-5850
- **Mailing address phone:** (480) 235-7788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 02/13/2020