Individual
MISS NESSA LORAINE PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC, RPH
Contact information
Practice address
1412 E GREENVILLE ST, ANDERSON, SC 29621-2003
(864) 224-8873
Mailing address
1412 E GREENVILLE ST, ANDERSON, SC 29621-2003
(864) 224-8873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12816
SC
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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