Individual
DR. DEENA RUSSELL FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11980 HIGHWAY 17 BYP, MURRELLS INLET, SC 29576-9339
(843) 357-2000
Mailing address
11980 HIGHWAY 17 BYP, MURRELLS INLET, SC 29576-9339
(843) 357-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36592
SC
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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