Individual
MRS. SANDRA JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 MCLURE CT, FLORENCE, SC 29505-6174
(843) 679-1881
(843) 679-1887
Mailing address
3550 TEXAS RD, FLORENCE, SC 29501-8611
(843) 618-3868
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
21037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21037
SC BOARD OF PHARMACY TECH
SC
Enumeration date
07/10/2007
Last updated
07/10/2007
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