Individual
DR. MA ANGELICA DAVID MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
132 RYAN DR, GOOSE CREEK, SC 29445-3166
(843) 614-1711
Mailing address
132 RYAN DR, GOOSE CREEK, SC 29445-3166
(843) 614-1711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43278
SC
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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