MEDICARE: DR. VIRGINIA STANLEY METCALF 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
1	183500000X	Pharmacist	13785	SC

General Provider Information

NPI Number	:	1750636916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA STANLEY METCALF PHARMD

Provider Business Mailing Address
First Line	:	1810 N HIGHWAY 17
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3309
Country	:	US
Telephone Number	:	843-388-2585
Fax Number	:	843-388-2587

Provider Business Practice Location Address
First Line	:	1810 N HIGHWAY 17
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3309
Country	:	US
Telephone Number	:	843-388-2585
Fax Number	:	843-388-2587

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

Provider Enumeration Date	:	07/13/2012
Last Update Date	:	07/13/2012

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