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Organization

CVS PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUSTY MARK BROWNLEE PHARMD (PHARMACIST IN CHARGE)
(843) 216-7021
Entity
Organization

Contact information

Practice address
2884 N HIGHWAY 17, MT PLEASANT, SC 29466-8915
(843) 216-7028
Mailing address
2884 N HIGHWAY 17, MT PLEASANT, SC 29466-8915
(843) 216-7028

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
203649684
SC

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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