Individual
LARRY BRIAN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
59 GEORGE ST, CHARLESTON, SC 29401-1422
(843) 720-8523
Mailing address
735 FORT SUMTER DR, CHARLESTON, SC 29412-4250
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
9700
SC
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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