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Individual

DR. ERNEST EUGENE PHILLIPS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
115 MAIN STREET, SUMMERTON, SC 29148
(803) 485-8725
(803) 485-4306
Mailing address
PO BOX 37, SUMMERTON, SC 29148
(803) 485-8725
(803) 485-4306

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11479
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11479
PHARMACY LICENCE
SC
Enumeration date
11/17/2006
Last updated
07/08/2007
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