Individual
MR. ERNEST EUGENE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 MAIN STREET, SUMMERTON, SC 29148
(803) 485-8725
(803) 485-4306
Mailing address
PO BOX 37, SUMMERTON, SC 29148
(803) 485-8725
(803) 485-4306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004303
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719399
—
SC
Enumeration date
02/20/2007
Last updated
07/09/2007
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