Provider First Line Business Practice Location Address:
INSTITUTE OF PSYCHAITRY PHARMACY
Provider Second Line Business Practice Location Address:
67 PRESIDENT ST, ROOM 448N
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29425-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-792-5952
Provider Business Practice Location Address Fax Number:
843-792-5954
Provider Enumeration Date:
06/01/2011