| Crocodile Pharmacy Services, Llc | |
|
738 University Village Dr Blythewood SC 29016-7611 | |
| (480) 235-7788 | |
| Not Available |
| Full Name | Crocodile Pharmacy Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 738 University Village Dr, Blythewood, South Carolina |
| Authorized Official Name and Position | Paul Plante (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8037301500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crocodile Pharmacy Services, Llc 9005 Two Notch Rd Ste 40 Columbia SC 29223-5850 Ph: (480) 235-7788 | Crocodile Pharmacy Services, Llc 738 University Village Dr Blythewood SC 29016-7611 Ph: (480) 235-7788 |
| NPI Number | 1780217208 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780217208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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