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NPI Code Detail

MEDICARE: MRS. LILA F TRUSSLER RPH

MEDICARE:  MRS. LILA F TRUSSLER  RPH
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
1183500000XPharmacist5888SC

General Provider Information

NPI Number : 1811197221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LILA F TRUSSLER RPH
Provider Business Mailing Address
First Line : 918 HOUSTON NORTHCUTT BLVD
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-3447
Country : US
Telephone Number : 843-884-5144
Fax Number : 843-884-7389
Provider Business Practice Location Address
First Line : 918 HOUSTON NORTHCUTT BLVD
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-3447
Country : US
Telephone Number : 843-884-5144
Fax Number : 843-884-7389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 07/23/2007

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Directions to “ MRS. LILA F TRUSSLER RPH” Practice Location

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