Organization
CAROLINA HEALTH PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEH IBRAHIM (OWNER)
(843) 215-8200
Entity
Organization
Contact information
Practice address
4036 RIVER OAKS DR UNIT B-1, MYRTLE BEACH, SC 29579-6695
(843) 236-6500
(843) 584-8534
Mailing address
4036 RIVER OAKS DR UNIT B-1, MYRTLE BEACH, SC 29579-6695
(843) 236-6500
(843) 584-8534
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717565
—
SC
Enumeration date
08/20/2017
Last updated
04/24/2020
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