Organization
PROFESSIONAL PHARMACY SERVICES INC
Active
Other names
Coastal Respiratory and Brace Store 2
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KYLE STURGEON (CEO)
(843) 665-4051
Entity
Organization
Contact information
Practice address
4410 HIGHWAY 17 UNIT B4, MURRELLS INLET, SC 29576-6434
(843) 665-4051
(843) 799-2493
Mailing address
PO BOX 7487, FLORENCE, SC 29502-7487
(843) 665-4051
(843) 799-2493
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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