Individual
LAURA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2492 HWY 9 EAST, LITTLE RIVER, SC 29566
(843) 399-1726
(843) 399-8497
Mailing address
5425 MILLER RD, TABOR CITY, NC 28463
(843) 457-1556
(843) 399-8497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7703
SC
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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