Individual
DR. DANIELLE LATRICE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3471 W MONTAGUE AVE, NORTH CHARLESTON, SC 29418-5938
(843) 531-5187
Mailing address
467 MAGGIE RD, MOUNT PLEASANT, SC 29464-9209
(843) 640-1197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43294
SC
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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