Individual
MADISON NICOLE WIMBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11920 HIGHWAY 707 STE A, MURRELLS INLET, SC 29576-9609
(843) 353-5614
Mailing address
11920 HIGHWAY 707 STE A, MURRELLS INLET, SC 29576-9609
(843) 353-5614
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
60010
SC
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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