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Individual

DR. CALEB A FACKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, MBA

Contact information

Practice address
4920 CENTRE POINTE DR, NORTH CHARLESTON, SC 29418-6927
(843) 740-5484
(843) 740-6766
Mailing address
4920 CENTRE POINTE DR, NORTH CHARLESTON, SC 29418-6927
(843) 740-5484
(843) 740-6766

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37128
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37128
STATE LICENSE
SC
Enumeration date
06/25/2017
Last updated
06/25/2022
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