Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Other names
MUSC Children's Health Summey Medical Pavilion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CRAWFORD (COO)
(843) 792-8775
Entity
Organization
Contact information
Practice address
2250 MALL DRIVE, NORTH CHARLESTON, SC 29406
(843) 876-0199
Mailing address
150 ASHLEY AVE # MSC584, CHARLESTON, SC 29425-8907
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7Z1019
—
SC
Enumeration date
02/25/2019
Last updated
08/24/2022
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