Civic Medication Management Services LLC
Pharmacist in North Charleston, SC. Organization (NPI-2).
NPI number1295095487
StatusActive
Last updated in NPPESFeb 18, 2013
Details
- NPI
- 1295095487
- Entity type
- Organization (NPI-2)
- Legal business name
- Civic Medication Management Services LLC
- Organization subpart
- No
- Enumeration date
- May 21, 2012
- Last updated
- Feb 18, 2013
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 |
|---|---|---|---|---|
| 183500000X | Pharmacist | LIC-1-13-89601 | SC | Yes |
Practice location
8471 Yadkin Cir Apt HNorth Charleston, SC 29406-9544
Phone 843-830-8702
Mailing address
Po Box 61934North Charleston, SC 29419-1934
Phone 843-830-8702 · Fax 843-824-2216
Authorized official
Teresa Monique Burks
Pharmacist
8438308702
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