Individual
DEANNA ANNE KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
135 RUTLEDGE AVE, CHARLESTON, SC 29425-8903
(843) 324-6978
Mailing address
2210 SHADY MOSS LN, JOHNS ISLAND, SC 29455-8214
(843) 324-6978
(843) 324-6978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10570
SC
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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