Organization
GUARDIAN PHARMACY OF SOUTH CAROLINA ONE
Active
Organization
GUARDIAN PHARMACY OF SOUTH CAROLINA ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L COLVIS (ACCOUNTANT)
(843) 545-8800
Entity
Organization
Contact information
Practice address
810 ELIZABETH ST, GEORGETOWN, SC 29440-3964
(843) 545-8800
(843) 545-8803
Mailing address
810 ELIZABETH ST, GEORGETOWN, SC 29440-3964
(843) 545-8800
(843) 545-8803
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
779713
—
SC
Enumeration date
07/21/2006
Last updated
10/01/2007
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