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1114142528
LAKE WYLIE HEALTHCARE, LLC
LAKE WYLIE, SC
NPI
1114142528
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Entity Type
Organization
Authorized Contact
FRANK TAMBERELLI
President
803-631-4466
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 50007181)
Enumeration Date
2007-04-13
Last Update Date
2020-08-22
Business Address
LAKE WYLIE HEALTHCARE, LLC
5420 HIGHWAY 55 E
LAKE WYLIE, SC 29710-8586
Phone number: 803-631-4466
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Mailing Address
LAKE WYLIE HEALTHCARE, LLC
5420 HIGHWAY 55 E
LAKE WYLIE, SC 29710-8586
Phone number: 803-631-4466
Copy
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