Individual
MS. MARYANNE SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5382
Mailing address
208 BENTWOOD LN, COLUMBIA, SC 29229-8964
(804) 764-0501
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
38437
SC
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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