Individual
STEVEN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1601 SANDIFER BLVD, SENECA, SC 29678-0905
(864) 885-0889
Mailing address
1601 SANDIFER BLVD, SENECA, SC 29678-0905
(864) 885-0889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6493
SC
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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