Individual
KIMBERLY GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1481 N HIGHWAY 17, MOUNT PLEASANT, SC 29464-3332
(843) 881-9585
Mailing address
650 ENTERPRISE BLVD, UNIT 2306, CHARLESTON, SC 29492-8543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36609
SC
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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