Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Other names
MUSC HOLLINGS CANCER CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CRAWFORD (COO)
(843) 792-8775
Entity
Organization
Contact information
Practice address
86 JONATHAN LUCAS ST RM 114, CHARLESTON, SC 29425-8900
(843) 876-0199
(843) 792-9812
Mailing address
150 ASHLEY AVE, MSC 584, CHARLESTON, SC 29425-8907
(843) 792-1009
(843) 792-2360
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
3102
SC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091573
PK
—
05
—
731027
—
SC
Enumeration date
02/25/2009
Last updated
08/24/2022
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