Organization
E FAMILY MEDICIN GRP
Active
Parent organization
MUSC FAMILY MEDICINE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUSC FAMILY MEDICINE PHARMACY
Authorized official
MR. PETER F EDWARDS MHSA,RPH (REGISTRANT)
(843) 792-8451
Entity
Organization
Contact information
Practice address
295 CALHOUN ST, CHARLESTON, SC 29425-8904
(843) 792-3064
(843) 792-3605
Mailing address
295 CALHOUN ST, CHARLESTON, SC 29425-8904
(843) 792-8451
(843) 792-9081
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
50000863
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004202812
RXAMERICA
—
01
—
0511232
BLUECROSSBLUESHIELD GA
SC
01
—
4202812
NCPDP
SC
05
—
708630
—
SC
01
—
DPE044
MEDICAID DME
SC
Enumeration date
12/27/2007
Last updated
03/04/2008
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