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Organization

CHERRY GROVE COMPOUNDING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNA L DUKES PHARMD (OWNER)
(843) 361-3784
Entity
Organization

Contact information

Practice address
1124-2 SEA MOUNTAIN HIGHWAY, NORTH MYRTLE BEACH, SC 29582
(843) 361-3784
Mailing address
1201 SEA MOUNTAIN HWY, NORTH MYRTLE BEACH, SC 29582-2216

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Enumeration date
04/09/2019
Last updated
04/09/2019
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