Organization
LADSON PHARMACY LLC
Active
Other names
LADSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAILEZA KHATIWADA (MEMBER)
(843) 285-5282
Entity
Organization
Contact information
Practice address
4550 LADSON RD STE 6, SUMMERVILLE, SC 29485-8531
(843) 285-5282
(843) 285-5283
Mailing address
4550 LADSON RD STE 6, SUMMERVILLE, SC 29485-8531
(843) 285-5282
(843) 285-5283
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7Z1049
—
SC
Enumeration date
07/14/2019
Last updated
07/23/2020
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