Provider Demographics
NPI:1689030520
Name:GUIMARAES, CAIO (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAIO
Middle Name:
Last Name:GUIMARAES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 TOWNE DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4203
Mailing Address - Country:US
Mailing Address - Phone:843-815-7070
Mailing Address - Fax:
Practice Address - Street 1:125 TOWNE DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4203
Practice Address - Country:US
Practice Address - Phone:843-815-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36436183500000X
GA028472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist