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NPI Code Detail

MEDICARE: DUSTIN GREGORY REXROAD PHARMD

MEDICARE:   DUSTIN GREGORY REXROAD  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
1183500000XPharmacist42002SC

General Provider Information

NPI Number : 1851952287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN GREGORY REXROAD PHARMD
Provider Business Mailing Address
First Line : 1981 RIVIERA DR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-7401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1981 RIVIERA DR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-7401
Country : US
Telephone Number : 843-849-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 06/26/2019

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Directions to “ DUSTIN GREGORY REXROAD PHARMD” Practice Location

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