Individual
MISS NICOLE ALEXANDRIA PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2901 NORTH KINGS HIGHWAY, MYRTLE BEACH, SC 29577
(843) 504-5170
Mailing address
PO BOX 163, LORIS, SC 29569-0163
(843) 504-5170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I-6391
SC
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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