Lake Wylie Healthcare, LLC

NPI #1114142528 in Lake Wylie, South Carolina

Provider Information

NPI Number
1114142528
Entity Type
Organization
Organization Name
Lake Wylie Healthcare, LLC
Primary Specialty
Pharmacist
Enumeration Date
Apr 13, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5420 HIGHWAY 55 E
ZIP Code
29710-8586
Phone
(803) 631-4466

Authorized Official

Name
MR. FRANK TAMBERELLI
Title
PRESIDENT
Phone
(803) 631-4466

Specialties & Taxonomy Codes

Specialty
Pharmacist

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