MEDICARE: DAVID WILLIAM ANGELINO 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
1	183500000X	Pharmacist	9317	SC

General Provider Information

NPI Number	:	1154628287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WILLIAM ANGELINO RPH

Provider Business Mailing Address
First Line	:	27 DISCOVERY DR
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-5173
Country	:	US
Telephone Number	:	843-989-7030
Fax Number	:	843-989-7032

Provider Business Practice Location Address
First Line	:	27 DISCOVERY DR
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-5173
Country	:	US
Telephone Number	:	843-989-7030
Fax Number	:	843-989-7032

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

Provider Enumeration Date	:	02/25/2011
Last Update Date	:	05/11/2026

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