Individual
KAITLIN PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7412 BROAD RIVER RD, IRMO, SC 29063-9662
(803) 749-3046
Mailing address
102 BRENT FORD CIR, COLUMBIA, SC 29212-1828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35636
SC
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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