Individual
MICHELE BLANCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 SEABOARD ST, MYRTLE BEACH, SC 29577
(843) 445-7851
Mailing address
540 SEABOARD ST, MYRTLE BEACH, SC 29577
(843) 445-7851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6784
SC
Other
Enumeration date
04/15/2014
Last updated
04/28/2014
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