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NPI Code Detail

MEDICARE: DR. TRAD CHANSON TERRY PHARMD

MEDICARE: DR. TRAD CHANSON TERRY 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
1183500000XPharmacist67738SC

General Provider Information

NPI Number : 1528906518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRAD CHANSON TERRY PHARMD
Provider Business Mailing Address
First Line : 3951 W ASHLEY CIR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-9156
Country : US
Telephone Number : 843-763-5554
Fax Number :
Provider Business Practice Location Address
First Line : 3951 W ASHLEY CIR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-9156
Country : US
Telephone Number : 843-763-5554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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