Organization
CBD MEDICAL ENTERPRISES PA
Active
Parent organization
CBD MEDICAL ENTERPRISES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CBD MEDICAL ENTERPRISES PA
Authorized official
DR. THOMAS A. DUC JR. MD (PRESIDENT)
(843) 266-9298
Entity
Organization
Contact information
Practice address
1341 OLD GEORGETOWN RD, SUITE B, MT PLEASANT, SC 29464-7307
(843) 266-9298
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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