Organization
EAST COOPER FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANNE CISA (PHARMACIST)
(843) 881-0478
Entity
Organization
Contact information
Practice address
913 BOWMAN RD, SUITE 100, MT PLEASANT, SC 29464-3235
(843) 881-0478
(843) 881-5532
Mailing address
913 BOWMAN RD, SUITE 100, MT PLEASANT, SC 29464-3235
(843) 881-0478
(843) 881-5532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
50002348
SC
333600000X
Pharmacy
Primary
50002348
SC
Other
Enumeration date
12/11/2006
Last updated
10/24/2014
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