Individual
DR. GAYLE LATISHA RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1228 KNOX AVE, NORTH AUGUSTA, SC 29841-4055
(803) 279-3279
(803) 279-0871
Mailing address
1228 KNOX AVE, NORTH AUGUSTA, SC 29841-4055
(803) 279-3279
(803) 279-0871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13111
SC
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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