Individual
JANA BEAU LEONE-LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1021 OAK FOREST LN, MYRTLE BEACH, SC 29577-9795
(843) 839-6606
Mailing address
626 SLASH PINE CT, MYRTLE BEACH, SC 29579-1748
(843) 504-7104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13578
CO
183500000X
Pharmacist
222
VI
183500000X
Pharmacist
Primary
9849
SC
Other
Enumeration date
03/25/2012
Last updated
03/25/2012
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