Organization
GLEATON PHARMACY GROUP, LLC
Active
Other names
Focus: Meds Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KRISALYN K GLEATON PHARMD (PHARMACIST/OWNER)
(843) 818-4638
Entity
Organization
Contact information
Practice address
2000 SAM RITTENBERG BLVD STE 134, CHARLESTON, SC 29407-4629
(843) 818-4638
(843) 952-7157
Mailing address
2000 SAM RITTENBERG BLVD STE 134, CHARLESTON, SC 29407-4629
(843) 818-4638
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
16975
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716975
—
SC
Enumeration date
02/15/2018
Last updated
02/15/2018
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