Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Other names
Rutledge Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CRAWFORD (COO)
(843) 792-8775
Entity
Organization
Contact information
Practice address
135 RUTLEDGE ST, SUITE 106, CHARLESTON, SC 29425-8903
(843) 876-0253
Mailing address
150 ASHLEY AVENUE, 6TH FLOOR, MSC 584, CHARLESTON, SC 29425
(843) 792-5691
(843) 792-2360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4404
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744042
—
SC
05
—
DME802
—
SC
Enumeration date
09/21/2006
Last updated
08/24/2022
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