Individual
MITCHELL THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-4754
Mailing address
1108 S MAIN ST UNIT 405, GREENVILLE, SC 29601-3378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-43506
SC
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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