Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELSEY RAE MOZINGO PHARMD (PHARMACIST)
(843) 424-6929
Entity
Organization
Contact information
Practice address
1310 N FRASER ST, ATTN: PHARMACY, GEORGETOWN, SC 29440-2800
(843) 527-2223
Mailing address
2219 BREWSTER DR UNIT 326, MYRTLE BEACH, SC 29577-1746
(843) 424-6929
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
36101
SC
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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