Individual
DR. THARYAR MYATNOE WILM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8995 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9116
(415) 916-7466
Mailing address
5863 ANDREAS WAY, NORTH CHARLESTON, SC 29418-5201
(415) 916-7466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60389
SC
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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