Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Other names
Charleston ENT SMP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VECCHIOLLA (DIRECTOR OF PHARMACY)
(843) 793-6402
Entity
Organization
Contact information
Practice address
180 WINGO WAY, SUITE 103, MT PLEASANT, SC 29464-1810
(843) 216-8774
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 793-6402
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
22628
SC
Other
Enumeration date
11/07/2013
Last updated
06/10/2014
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