Organization
PALMETTO CUSTOM COMPOUNDING
Active
Other names
Prescription Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD MEL RAUTON JR. R.PH. (OWNER/PHARMACIST)
(843) 723-5343
Entity
Organization
Contact information
Practice address
107 RUTLEDGE AVE, CHARLESTON, SC 29401-1332
(843) 723-5343
(843) 723-5344
Mailing address
107 RUTLEDGE AVE, CHARLESTON, SC 29401-1332
(843) 723-5343
(843) 723-5344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010268
PHARMACY PERMIT
SC
Enumeration date
01/22/2009
Last updated
01/22/2009
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