Individual
ANNISA SIMONE MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2586 WOODRUFF RD, SIMPSONVILLE, SC 29681-5447
(264) 288-8836
Mailing address
213 ST LUCIE DR, SIMPSONVILLE, SC 29681-8152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60794
SC
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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