Organization · Type 2 NPI

Detyens Medical Center

Community/Retail Pharmacy · North Charleston, SC

NPI number 1134720535 Active

Practice location

1670 Drydock Avenue, Building 10, Suite A
North Charleston, SC 29405

Fax (843) 308-6570

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1134720535
Entity type: Organization (Type 2)
Issued: Nov 3, 2020
Last updated: Nov 3, 2020
Status: Active
Subpart: Yes of Detyens Medical Center

Other names

Detyens Medical Center Pharmacy · other name

Authorized official

Mrs. Debra Lynn Gaskins, RPH
Pharmacist-In-Charge
(843) 747-3284

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134720535

Detyens Medical Center's National Provider Identifier is 1134720535, issued on Nov 3, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in North Charleston, SC. The record was last updated on Nov 3, 2020.