Individual
MIRENA KOVACHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
423 W MAIN ST, LEXINGTON, SC 29072-2637
(803) 957-3071
Mailing address
423 W MAIN ST, LEXINGTON, SC 29072-2637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13762
SC
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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