Organization
JOHNS ISLAND PHARMACY LLC
Active
Other names
JOHNS ISLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNN DAPORE (RPH/OWNER)
(843) 789-4777
Entity
Organization
Contact information
Practice address
3133 MAYBANK HWY, JOHNS ISLAND, SC 29455-4838
(843) 795-9554
(843) 795-2660
Mailing address
3133 MAYBANK HWY, JOHNS ISLAND, SC 29455-4838
(843) 789-4777
(843) 789-4017
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7Z1180
—
SC
Enumeration date
10/08/2020
Last updated
02/09/2022
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