Individual
BRETT C FALLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 JOHNNIE DODDS BLVD STE 106, PUBLIX PHARMACY, MT PLEASANT, SC 29464-3187
(843) 856-3007
(843) 856-3014
Mailing address
1000 JOHNNIE DODDS BLVD, PUBLIX PHARMACY, MT PLEASANT, SC 29464-3135
(843) 856-3007
(843) 856-3014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009698
SC
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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