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Ted Tristan Nussbaum, RPH
Pharmacist in Moncks Corner, South Carolina
NPI 1497052666

Ted Tristan Nussbaum is a Pharmacist based in Moncks Corner, SC. Ted Tristan Nussbaum practices in Moncks Corner, SC and has the professional credentials of RPH. The NPI Number for Ted Tristan Nussbaum is 1497052666 and holds a License No. 11560 (South Carolina).

The current practice location address for Ted Tristan Nussbaum is 1008 Old Highway 52 Ste G, Moncks Corner, SC and can be reached out via phone at 843-899-4700 and via fax at 843-899-4702. You can also correspond with Ted Tristan Nussbaum through the mailing address at 1404 BRITISH DR, MONCKS CORNER, SC - 29461-7128 (mailing address contact number: 843-830-8640).

Location: 1008 Old Highway 52 Ste G, Moncks Corner, SC, 29461-7128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497052666
Provider Name
Ted Tristan Nussbaum
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1008 Old Highway 52 Ste G, Moncks Corner, SC, 29461-7128
Phone Number
843-899-4700
Fax Number
843-899-4702
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1008 Old Highway 52 Ste G
City
Moncks Corner
State
South Carolina
Zip
29461-3011
Phone Number
843-899-4700
Fax Number
843-899-4702
person
Provider Business Mailing Address Details
Address
1008 Old Highway 52 Ste G
City
Moncks Corner
State
South Carolina
Zip
29461-3011
Phone Number
843-899-4700
Fax Number
843-899-4702
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
11560 (South Carolina)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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