Individual
MIRANDA ELIZABETH BOOTH-POPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH
Contact information
Practice address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 774-5400
Mailing address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 774-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13826
SC
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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