Individual
REBECCA HENTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 N BROWN ST, WEST COLUMBIA, SC 29169-5710
(803) 722-1352
Mailing address
407 N BROWN ST, WEST COLUMBIA, SC 29169-5710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007270
SC
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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