Organization
PAWLEYS ISLAND COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS DARWIN WALDREP RPH (PARTNER/PHARMACIST-IN-CHARGE)
(843) 235-3009
Entity
Organization
Contact information
Practice address
9710 OCEAN HWY, UNIT 2, PAWLEYS ISLAND, SC 29585-7585
(843) 235-3009
Mailing address
9710 OCEAN HWY, UNIT 2, PAWLEYS ISLAND, SC 29585-7585
(843) 235-3009
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
14285
SC
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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