Park Circle Pharmacy, LLC
Pharmacy, Community/Retail Pharmacy in North Charleston, SC. Organization (NPI-2).
NPI number1972233807
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1972233807
- Entity type
- Organization (NPI-2)
- Legal business name
- Park Circle Pharmacy, LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Oct 5, 2022
- Last updated
- Oct 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHARMACY
- 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 |
Practice location
4412 Spruill Ave Ste CNorth Charleston, SC 29405-4787
Phone 843-806-1299
Mailing address
36 Norview CirCharleston, SC 29407-3713
Phone 843-754-8889
Authorized official
Michael Wise
Partner
8438061299
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All 17 Community/Retail Pharmacy providers in North Charleston · All 2,746 providers in North Charleston
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