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Organization

WISE'S FAMILY PHARMACY

Active
Other names
Wise's Family Pharmacy DME
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES WAYNE WISE JR. PHARM D. (OWNER)
(843) 558-3000
Entity
Organization

Contact information

Practice address
202 SOUTH MAIN ST, HEMINGWAY, SC 29554
(843) 558-3000
(843) 558-6139
Mailing address
PO BOX 460, HEMINGWAY, SC 29554-0460
(843) 558-3000

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
765044
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DE2168
SC
Enumeration date
08/28/2007
Last updated
07/23/2008
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