Individual
TAVIA S. FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4633 SAVANNAH HWY, NORTH, SC 29112-8180
(803) 247-2133
(803) 247-3081
Mailing address
4633 SAVANNAH HWY, NORTH, SC 29112-8180
(803) 247-2133
(803) 247-3081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8772
SC
Other
Enumeration date
11/27/2012
Last updated
04/15/2013
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