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NPI Code Detail

MEDICARE: MR. ROBERT C MANUTES

MEDICARE:  MR. ROBERT C MANUTES
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
1183500000XPharmacist9057SC

General Provider Information

NPI Number : 1700176526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT C MANUTES
Provider Business Mailing Address
First Line : 1834 PIERCE ST
Second Line :
City : DANIEL ISLAND
State : SC
Zip : 29492-8086
Country : US
Telephone Number : 843-471-2948
Fax Number :
Provider Business Practice Location Address
First Line : 918 HOUSTON NORTHCUTT BLVD
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-3770
Country : US
Telephone Number : 843-884-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2011
Last Update Date : 04/13/2011

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Directions to “ MR. ROBERT C MANUTES ” Practice Location

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