Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Other names
MUSC James Island Family Medicine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CRAWFORD (COO)
(843) 792-8775
Entity
Organization
Contact information
Practice address
650 ELLIS OAK DR RM 119, CHARLESTON, SC 29412-3089
(843) 876-2969
(843) 876-2967
Mailing address
650 ELLIS OAK DR RM 119, CHARLESTON, SC 29412-3089
(843) 876-2969
(843) 876-2967
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
863
SC
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090196
PK
—
05
—
708630
—
SC
Enumeration date
08/20/2006
Last updated
08/24/2022
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