Organization
CROCODILE PHARMACY SERVICES, LLC
Active
Parent organization
CROCODILE PHARMACY SERVICES, LLC
Other names
CP-Blythewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROCODILE PHARMACY SERVICES, LLC
Authorized official
DR. PAUL PLANTE MD (MEDICAL DIRECTOR)
(803) 730-1500
Entity
Organization
Contact information
Practice address
738 UNIVERSITY VILLAGE DR, BLYTHEWOOD, SC 29016-7611
(480) 235-7788
Mailing address
9005 TWO NOTCH RD, STE 40, COLUMBIA, SC 29223-5850
(480) 235-7788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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