Individual
MR. COURTNEY EDWARD GADONNIEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5220 HIGHWAY 557, CLOVER, SC 29710-8517
(803) 631-4144
(803) 631-4148
Mailing address
13214 PLANTERS ROW DR, CHARLOTTE, NC 28278-0012
(704) 301-0026
(803) 631-4148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010401
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4228741
NABP
—
Enumeration date
02/17/2010
Last updated
02/19/2010
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