Organization
SWEETGRASS PHARMACY & COMPOUNDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA REICH PHARMD (CO-OWNER)
(843) 696-9103
Entity
Organization
Contact information
Practice address
1952 LONG GROVE DR STE 5, MT PLEASANT, SC 29464-7579
(843) 696-9103
Mailing address
1952 LONG GROVE DR STE 5, MT PLEASANT, SC 29464-7579
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11842
SC
3336C0004X
Compounding Pharmacy
11842
SC
Other
Enumeration date
07/14/2014
Last updated
10/16/2015
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