Organization
LAKE WYLIE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK TAMBERELLI (PRESIDENT)
(803) 631-4466
Entity
Organization
Contact information
Practice address
5420 HIGHWAY 55 E, LAKE WYLIE, SC 29710-8586
(803) 631-4466
(803) 631-4477
Mailing address
5420 HIGHWAY 55 E, LAKE WYLIE, SC 29710-8586
(803) 631-4466
(803) 631-4477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50007181
SC
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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