Organization
HEROLDS PHARMACY LLC
Active
Other names
Herold's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WISE (OWNER, PHARMACIST IN CHARGE)
(843) 754-8867
Entity
Organization
Contact information
Practice address
2057 CHARLIE HALL BLVD STE C, CHARLESTON, SC 29414-6164
(843) 637-3037
(866) 728-6778
Mailing address
2057 CHARLIE HALL BLVD STE C, CHARLESTON, SC 29414-6164
(843) 637-3037
(866) 728-6778
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10956
SC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4229539
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
710956
—
SC
Enumeration date
01/30/2010
Last updated
02/14/2013
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