Individual
DR. REILLY MARIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
301 N MAIN ST, SUMMERVILLE, SC 29483-6417
(843) 871-0310
Mailing address
2012 BOEING AVE, CHARLESTON, SC 29407-6805
(678) 621-9518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43287
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43287
SOUTH CAROLINA LLR BOARD OF PHARMACY
SC
Enumeration date
12/28/2021
Last updated
12/28/2021
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