Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES VECCHIOLLA (DIRECTOR OF PHARMACY)
(843) 793-6402
Entity
Organization
Contact information
Practice address
3510 N HIGHWAY 17, 135, MT PLEASANT, SC 29466-8227
(843) 654-7494
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 793-6402
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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