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Individual

KRISTINA VIZCAINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, CACP

Contact information

Practice address
200 PATEWOOD DR STE C300, GREENVILLE, SC 29615-6324
(864) 454-2852
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
24981
NC
183500000X
Pharmacist
Primary
36847
SC
1835P2201X
Ambulatory Care Pharmacist
24981
NC
1835P2201X
Ambulatory Care Pharmacist
36847
SC

Other

Enumeration date
04/24/2017
Last updated
10/30/2020
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