Individual
MR. L. DEXTER TRUAX SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
350 ROBERT SMALLS PKWY, BEAUFORT, SC 29906-4284
(843) 522-8221
Mailing address
PO BOX 1018, HARDEEVILLE, SC 29927-1018
(912) 777-4847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH5863
SC
333600000X
Pharmacy
PH5863
SC
3336C0003X
Community/Retail Pharmacy
Primary
PH5863
SC
3336C0003X
Community/Retail Pharmacy
RPH017183
GA
3336H0001X
Home Infusion Therapy Pharmacy
RPH017183
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH5863
BOARD OF PHAMRACY
SC
01
—
RPH017183
BOARD OF PHARMACY
GA
Enumeration date
07/27/2017
Last updated
07/27/2017
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