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Organization

DEPARTMENT OF VETRANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES HOPKINS SUPERVISOR (PHARAMICST)
(843) 745-8637
Entity
Organization

Contact information

Practice address
109 BEE ST, 3625 RIVERS AVE SUITE2, CHARLESTON, SC 29401-5703
(843) 745-8637
(843) 747-6841
Mailing address
5600 DORCHESTER RD APT 1406, POBOX 70103, CHARLESTON, SC 29418-5517
(843) 864-9124
(843) 747-6841

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
09/04/2008
Last updated
09/04/2008
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