Organization
DELTA OF ISLE OF PALMS LLC
Active
Other names
Delta Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY PARSONS (MANAGER)
(843) 761-5255
Entity
Organization
Contact information
Practice address
1400 PALM BLVD, ISLE OF PALMS, SC 29451-2280
(843) 885-8008
(843) 899-4970
Mailing address
402 E MAIN ST, MONCKS CORNER, SC 29461-3616
(843) 761-5255
(843) 899-4970
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15854
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150847
PK
—
Enumeration date
04/07/2015
Last updated
04/17/2025
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