Organization
BEAUFORT PHARMACY AND COMPOUNDING LLC
Active
Other names
Carolina Pharmacy of the Lowcountry
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SIMMONS PHARMD (OWNER)
(843) 729-5583
Entity
Organization
Contact information
Practice address
810 ELM ST E, HAMPTON, SC 29924-2610
(803) 914-0318
(803) 914-0311
Mailing address
810 ELM ST E, HAMPTON, SC 29924-2610
(803) 914-0318
(803) 914-0311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15492
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149485
PK
—
05
—
715492
—
SC
Enumeration date
04/10/2012
Last updated
12/01/2022
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