Individual
DR. ROBERT LEE POULOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
3701 N KINGS HWY, MYRTLE BEACH, SC 29577-2977
(843) 448-9104
Mailing address
4758 LIGHTKEEPERS WAY UNIT 23B, LITTLE RIVER, SC 29566-7960
(843) 530-0733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35721
SC
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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