Organization
LOWCOUNTRY RHEUMATOLOGY PA
Active
Other names
LCR Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRANTLEY WESCOTT (PIC)
(615) 301-5911
Entity
Organization
Contact information
Practice address
9231 MEDICAL PLAZA DR STE A, NORTH CHARLESTON, SC 29406-9101
(843) 572-4840
(855) 378-1477
Mailing address
9231 MEDICAL PLAZA DR STE A, CHARLESTON, SC 29406-9101
(843) 572-4840
(855) 378-1477
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128514
PK
—
Enumeration date
01/31/2011
Last updated
02/16/2017
Update your record
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