MEDICARE: DANARICA MOJICA ECLEVIA

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	43207	SC

General Provider Information

NPI Number	:	1659042919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANARICA MOJICA ECLEVIA

Provider Business Mailing Address
First Line	:	1861 REMOUNT RD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-3238
Country	:	US
Telephone Number	:	843-743-3569
Fax Number	:

Provider Business Practice Location Address
First Line	:	1861 REMOUNT RD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-3238
Country	:	US
Telephone Number	:	843-740-6977
Fax Number	:

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

Provider Enumeration Date	:	09/25/2021
Last Update Date	:	10/01/2021

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Directions to “ DANARICA MOJICA ECLEVIA ” Practice Location

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