Individual
CHRISTOPHER SHANNON MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0605
Mailing address
PO BOX 586, IRMO, SC 29063-0586
(404) 435-9728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14288
SC
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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