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NPI Code Detail

MEDICARE: ANDREW M FERRILLO RPH

MEDICARE: ANDREW M FERRILLO 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
1183500000XPharmacist14027CT

General Provider Information

NPI Number : 1760820468
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW M FERRILLO RPH
Provider Business Mailing Address
First Line : 4400 DORCHESTER RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-6849
Country : US
Telephone Number : 843-554-6193
Fax Number : 843-554-3594
Provider Business Practice Location Address
First Line : 4400 DORCHESTER RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-6849
Country : US
Telephone Number : 843-554-6193
Fax Number : 843-554-3594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2013
Last Update Date : 02/06/2021

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