Individual provider · Type 1 NPI

Ted Tristan Nussbaum, RPH

Pharmacist · Moncks Corner, SC

NPI number 1497052666 Active

Practice location

1008 Old Highway 52 Ste G
Moncks Corner, SC 29461-3011

Fax (843) 899-4702

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X11560 (SC)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

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About NPI 1497052666

Ted Tristan Nussbaum, RPH's National Provider Identifier is 1497052666, issued on Feb 23, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Moncks Corner, SC. The record was last updated on Jun 10, 2025.