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Organization
ISLAND COMPOUNDING PHARMACY LLC
Active
Organization
ISLAND COMPOUNDING PHARMACY LLC
Active
Other names
Stephens Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILHEMINA SMITH FRY PHARM.D. (OWNER/SOLE MEMBER)
(843) 686-3040
Entity
Organization
Contact information
Practice address
55 MATHEWS DR STE 215, HILTON HEAD ISLAND, SC 29926-3731
(843) 686-3040
(843) 686-3035
Mailing address
55 MATHEWS DR STE 215, HILTON HEAD ISLAND, SC 29926-3731
(843) 686-3040
(843) 686-3035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16203
SC
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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