Healthcare Provider Details

I. General information

NPI: 1659298065
Provider Name (Legal Business Name): WENDELL ATMAR FRALIX JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 MAXWELL ST
NORTH CHARLESTON SC
29405-4151
US

IV. Provider business mailing address

1270 MAXWELL ST
NORTH CHARLESTON SC
29405-4151
US

V. Phone/Fax

Practice location:
  • Phone: 843-813-8386
  • Fax:
Mailing address:
  • Phone: 843-813-8386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42539
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: