Organization
PARK CIRCLE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WISE (PARTNER)
(843) 806-1299
Entity
Organization
Contact information
Practice address
4412 SPRUILL AVE STE C, NORTH CHARLESTON, SC 29405-4787
(843) 806-1299
Mailing address
36 NORVIEW CIR, CHARLESTON, SC 29407-3713
(843) 754-8889
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7Z1200
—
SC
Enumeration date
06/14/2022
Last updated
10/05/2022
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