Healthcare Provider Details

I. General information

NPI: 1881088805
Provider Name (Legal Business Name): DOTTIES PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 WAPPOO CREEK DR STE F
CHARLESTON SC
29412-2159
US

IV. Provider business mailing address

3920 MAIN ST STE 100
AMHERST NY
14226-3350
US

V. Phone/Fax

Practice location:
  • Phone: 843-501-9500
  • Fax: 843-414-7453
Mailing address:
  • Phone: 843-501-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number15699
License Number StateSC

VIII. Authorized Official

Name: JUSTIN WACLAWEK
Title or Position: COO
Credential:
Phone: 716-876-2323