Individual
MS. BRENDA SHIRLEY FAUTEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1799 N HIGHWAY 17, MT PLEASANT, SC 29464-3334
(843) 856-8669
(843) 856-1726
Mailing address
2749 RUSH HAVEN DR, MT PLEASANT, SC 29466-8579
(843) 856-8669
(843) 856-1726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09229
SC
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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