Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL DONJON (PHARMACY SUPERVISOR)
(843) 626-3951
Entity
Organization
Contact information
Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(843) 448-4437
Mailing address
2180 BREWSTER DR, UNIT 1022, MYRTLE BEACH, SC 29577-1754
(614) 325-9178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03131744
OH
183500000X
Pharmacist
Primary
35452
SC
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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