Individual
KATIE M KRISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
705 ELM STREET WEST, HAMPTON, SC 29924
(803) 943-4446
Mailing address
703 4TH STREET WEST, HAMPTON, SC 29924
(814) 335-9569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13365
SC
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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