Individual
DERRIK LOYAL WEDDLE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2070 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4605
(843) 766-2130
Mailing address
2070 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4605
(843) 766-2130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13719
SC
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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