MEDICARE: CAROLINE POLUTTA OLIVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH.67743PH	SC

General Provider Information

NPI Number	:	1124966437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE POLUTTA OLIVER

Provider Business Mailing Address
First Line	:	109 PONDEROSA RD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-8317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 PONDEROSA RD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-8317
Country	:	US
Telephone Number	:	843-530-8630
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

Similar Medicare Providers

1083552822 — DAVID VAZQUEZ DC
Practice Location Address:

464 AZALEA SQUARE BLVD UNIT D
SUMMERVILLE, SC
29483-7335

Practice Phone: 643-310-5535
Practice Fax:

1104764810 — MALLORY SINCLAIR IPHM
Practice Location Address:

409 MURRAY BLVD
SUMMERVILLE, SC
29483-9027

Practice Phone: 317-364-5071
Practice Fax:

1659219053 — MOSAIC MILESTONES CHILD AND FAMILY THERAPY LLC
Practice Location Address:

414 BRANCH CREEK TRL
SUMMERVILLE, SC
29483-5265

Practice Phone: 704-914-6586
Practice Fax:

1639184724 — WALGREEN CO
Practice Location Address:

1120 N MAIN ST
SUMMERVILLE, SC
29483-7326

Practice Phone: 843-821-7537
Practice Fax:

1194664581 — MRS. DESHAWN NICOLE MANIGAULT
Practice Location Address:

421 W FISHER RD
SUMMERVILLE, SC
29483-9025

Practice Phone: 843-739-8781
Practice Fax:

1952240384 — COLLECTIVE COUNSELING
Practice Location Address:

102 DAHLIA PL
SUMMERVILLE, SC
29483-3917

Practice Phone: 732-859-2574
Practice Fax:

Directions to “ CAROLINE POLUTTA OLIVER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.