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NPI Code Detail

MEDICARE: PHILLIP W CORLEW PHARM.D

MEDICARE: PHILLIP W CORLEW PHARM.D
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
1183500000XPharmacist11520SC
2183500000XPharmacistRPH023144GA

General Provider Information

NPI Number : 1891147872
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP W CORLEW PHARM.D
Provider Business Mailing Address
First Line : PO BOX 433
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-0433
Country : US
Telephone Number : 706-399-1780
Fax Number :
Provider Business Practice Location Address
First Line : 2751 BEAVER RUN BLVD
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29575-5381
Country : US
Telephone Number : 843-215-3856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2016
Last Update Date : 07/01/2016

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Directions to “ PHILLIP W CORLEW PHARM.D” Practice Location

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