Detyens Medical Center
Pharmacy, Community/Retail Pharmacy in North Charleston, SC. Organization (NPI-2).
Details
- NPI
- 1134720535
- Entity type
- Organization (NPI-2)
- Legal business name
- Detyens Medical Center
- Organization subpart
- Yes
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Detyens Medical Center Pharmacy (Other Name)
Practice location
1670 Drydock AvenueBuilding 10, Suite A
North Charleston, SC 29405
Phone 843-747-3284 · Fax 843-308-6570
Mailing address
1670 Drydock AvenueBuilding 10, Suite A
North Charleston, SC 29405
Phone 843-747-3284 · Fax 843-308-6570
Authorized official
Debra Lynn Gaskins
Pharmacist-In-Charge
8437473284
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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