Organization
CIVIC MEDICATION MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MONIQUE BURKS PHARM D (PHARMACIST)
(843) 830-8702
Entity
Organization
Contact information
Practice address
8471 YADKIN CIR APT H, NORTH CHARLESTON, SC 29406-9544
(843) 830-8702
Mailing address
PO BOX 61934, NORTH CHARLESTON, SC 29419-1934
(843) 830-8702
(843) 824-2216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
LIC-1-13-89601
SC
Other
Enumeration date
05/21/2012
Last updated
02/18/2013
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