Organization
CAROLINA COMPOUNDING PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T. MAULDIN RPH (PHARMACIST)
(864) 886-0661
Entity
Organization
Contact information
Practice address
205 STORK WAY, SENECA, SC 29678-1039
(864) 886-0661
(864) 886-0522
Mailing address
205 STORK WAY, SENECA, SC 29678-1039
(864) 886-0661
(864) 886-0522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
SC6626
SC
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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