Organization
RAVEN HOLDINGS, LLC
Active
Other names
Raven Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CURT NESBITT (CEO)
(843) 640-0621
Entity
Organization
Contact information
Practice address
1501 BELLE ISLE AVE STE 140, MOUNT PLEASANT, SC 29464-8379
(843) 640-0621
(843) 640-0623
Mailing address
953 HOUSTON NORTHCUTT BLVD, MOUNT PLEASANT, SC 29464-3468
(843) 276-1950
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16418
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716418
—
SC
Enumeration date
04/12/2016
Last updated
07/07/2023
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