Individual
CASEY POLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
620 LONG POINT RD, MT PLEASANT, SC 29464-8363
(843) 856-4631
Mailing address
651 FAIR SPRING DR, CHARLESTON, SC 29414-7150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36868
SC
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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