Organization
TELLIS PHARMACY INC
Active
Other names
Independant Pharmacy Retail
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERA J TELLIS RPH BS PHARM (PHARMACIST)
(843) 723-0682
Entity
Organization
Contact information
Practice address
125 KING ST, CHARLESTON, SC 29401-2208
(843) 723-0682
Mailing address
125 KING ST, CHARLESTON, SC 29401-2208
(843) 423-0682
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 180790000017
SID #
—
01
—
5000 1824
PERMIT
—
Enumeration date
04/10/2007
Last updated
03/07/2023
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