Organization
GLEATON PHARMACY GROUP
Active
Other names
Focus: Meds Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KRISALYN GLEATON PHARMD (OWNER)
(843) 991-8403
Entity
Organization
Contact information
Practice address
2000 SAM RITTENBERG BLVD STE 134, CHARLESTON, SC 29407-4629
(843) 818-4638
(843) 952-7157
Mailing address
PO BOX 30866, CHARLESTON, SC 29417-0866
(843) 818-4638
(843) 952-7157
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16975
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166249
PK
—
Enumeration date
11/21/2016
Last updated
11/07/2023
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