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NPI Code Detail

MEDICARE: DR. ELAINE INIGO PHARMD

MEDICARE: DR. ELAINE INIGO PHARMD
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
1183500000XPharmacist13006SC

General Provider Information

NPI Number : 1316244395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELAINE INIGO PHARMD
Provider Business Mailing Address
First Line : 7501 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-4662
Country : US
Telephone Number : 843-764-1745
Fax Number : 843-764-2189
Provider Business Practice Location Address
First Line : 3701 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29577-2977
Country : US
Telephone Number : 843-448-9104
Fax Number : 843-448-9180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2011
Last Update Date : 08/25/2020

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