Individual
MS. KIM RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 H.C. RAYSOR DR., ST. MATTHEWS, SC 29135
(803) 655-7753
Mailing address
PO BOX 492, NORWAY, SC 29113-0492
(803) 263-4875
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
12732
SC
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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