Organization
PAWLEYS ISLAND COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS WALDREP RPH (PHARMACIST IN CHARGE)
(843) 235-0580
Entity
Organization
Contact information
Practice address
9710 OCEAN HWY UNIT 2, PAWLEYS ISLAND, SC 29585-7585
(843) 235-0580
Mailing address
9710 OCEAN HWY UNIT 2, PAWLEYS ISLAND, SC 29585-7585
(843) 235-0580
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
14285
SC
Other
Enumeration date
12/24/2012
Last updated
12/24/2012
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