Healthcare Provider Details

I. General information

NPI: 1730651845
Provider Name (Legal Business Name): JAMES CLIFTON PALMER III PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2018
Last Update Date: 12/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SAM RITTENBERG BLVD
CHARLESTON SC
29407-4629
US

IV. Provider business mailing address

5918 ANDREAS WAY
NORTH CHARLESTON SC
29418-5225
US

V. Phone/Fax

Practice location:
  • Phone: 843-818-4638
  • Fax:
Mailing address:
  • Phone: 843-532-4419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number13436
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: