Organization Name: | EAST COOPER FAMILY PHARMACY |
NPI Number: | 1366502007 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ANNE CISA (PHARMACIST) |
Mailing Address: | 913 Bowman Rd Suite 100 Mt Pleasant |
State: | SC US |
Postal Code: | 294643235 |
Phone Number: | 8438810478 |
Fax Number: | 8438815532 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 10/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 50002348 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |