Organization
CROCODILE PHARMACY SERVICES, LLC
Active
Other names
CP-Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PLANTE MD (MEDICAL DIRECTOR)
(803) 730-1500
Entity
Organization
Contact information
Practice address
74 POLO RD, COLUMBIA, SC 29223-2806
(480) 235-7788
Mailing address
9005 TWO NOTCH RD STE 40, COLUMBIA, SC 29223-5850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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