| NPI | 1508223645 |
|---|---|
| Doing Business As | BERKELEY HOME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TED TRISTAN NUSSBAUM Owner/Pharmacist 843-899-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 16354) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2021-03-15 |