Organization
PLANTATION PHARMACY AT WAPPOO ROAD INC
Active
Other names
Plantation Pharmacy at Wappo Road Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DAPORE RPH (OWNER/PHARMACIST,AO)
(843) 795-9554
Entity
Organization
Contact information
Practice address
531 WAPPOO RD, CHARLESTON, SC 29407-2223
(843) 556-1994
(843) 556-1991
Mailing address
531 WAPPOO RD, CHARLESTON, SC 29407-2223
(843) 556-1994
(843) 556-1991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10532
SC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154588101
—
SC
01
—
2121347
PK
—
05
—
710532
—
SC
Enumeration date
05/19/2008
Last updated
02/27/2017
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