Organization
CHARLESTON CLINICAL & HEALTH SERVICES, INC.
Active
Other names
Medical Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. L. BRUEGGEMAN PHARM. D. (DIRECTOR)
(843) 553-7121
Entity
Organization
Contact information
Practice address
9301 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9103
(843) 553-7121
(843) 553-5800
Mailing address
9301 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9103
(843) 553-7121
(843) 553-5800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1807
SC
3336C0003X
Community/Retail Pharmacy
Primary
001807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-09892
NCPDP
SC
05
—
718076
—
SC
Enumeration date
10/23/2006
Last updated
08/22/2007
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