Organization
MEDICAL CENTER COMPOUNDING LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS D HOLLEY SR. RPH (PRESIDENT)
(803) 649-1547
Entity
Organization
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 2400, AIKEN, SC 29801-6810
(803) 649-1547
(803) 648-0120
Mailing address
410 UNIVERSITY PKWY, SUITE 2800, AIKEN, SC 29801-6810
(803) 649-1547
(803) 648-0120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50005156
SC
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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