Organization
PLANTATION PHARMACY AT ELLIS OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH DAPORE R.PH. (OWNER)
(843) 795-9554
Entity
Organization
Contact information
Practice address
776 DANIEL ELLIS DR, 2C, CHARLESTON, SC 29412-3094
(843) 795-9554
(843) 795-2660
Mailing address
776 DANIEL ELLIS DR, 2C, CHARLESTON, SC 29412-3094
(843) 795-9554
(843) 795-2660
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
010727966
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780107
—
SC
Enumeration date
10/26/2006
Last updated
01/03/2011
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