Ted Tristan Nussbaum, RPH
NPI #1497052666 in Moncks Corner, South Carolina
Provider Information
- NPI Number
- 1497052666
- Entity Type
- Individual
- Name
- Ted Tristan Nussbaum, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Feb 23, 2011
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 1008 OLD HIGHWAY 52 STE G
- City
- Moncks Corner
- State
- South Carolina
- ZIP Code
- 29461-3011
- Phone
- (843) 899-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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