Individual
BONNIE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3581 RICHLAND AVE W, AIKEN, SC 29801-6311
(803) 648-6464
Mailing address
3581 RICHLAND AVE W, AIKEN, SC 29801-6311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11891
SC
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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